Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephanie Diego Dental Corporation

Organization Dental Clinic/Center · NPI 1053162727

Stephanie Diego Dental Corporation is a Dental Clinic/Center in Modesto, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1130 Coffee Rd Ste 8A
Modesto, CA 95355-4228
Phone: (209) 566-1990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1053162727
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Diego — Ceo · (209) 566-1990
Other names Gleam Dentistry Dental Office Of Stephanie Diego, Dds
NPI enumeratedMarch 29, 2024
Last updated in NPPESMarch 29, 2024
Certification dateMarch 29, 2024
Mailing address1130 Coffee Rd Ste 8a, Modesto, CA 95355-4228

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