DR. Ian E Modestow, DMD
NPI #1053381178 in Florence, Massachusetts
Provider Information
- NPI Number
- 1053381178
- Entity Type
- Individual
- Name
- DR. Ian E Modestow, DMD
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jan 23, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 190 NONOTUCK ST
- Address 2
- SUITE 103
- City
- Florence
- State
- Massachusetts
- ZIP Code
- 01062-1911
- Phone
- (413) 586-5887
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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