Provider Demographics
NPI:1033328075
Name:ERICK N CUENCA DMD INC
Entity Type:Organization
Organization Name:ERICK N CUENCA DMD INC
Other - Org Name:BRIGHT NOW DENTAL MODESTO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERICK
Authorized Official - Middle Name:N
Authorized Official - Last Name:CUENCA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:209-576-8181
Mailing Address - Street 1:2225 PLAZA PKWY STE P1
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-6219
Mailing Address - Country:US
Mailing Address - Phone:209-576-8181
Mailing Address - Fax:
Practice Address - Street 1:2225 PLAZA PKWY STE P1
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-6219
Practice Address - Country:US
Practice Address - Phone:209-576-8181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty