Modestow Family Dentistry PC

NPI #1053842245 in Florence, Massachusetts

Provider Information

NPI Number: 1053842245
Entity Type: Organization
Organization Name: Modestow Family Dentistry PC
Primary Specialty: Dentist
Enumeration Date: Mar 21, 2017
Last Updated: Mar 21, 2017

Practice Location

Address: 190 NONOTUCK STREET
Address 2: SUITE 101
City: Florence
State: Massachusetts
ZIP Code: 01062-1934
Phone: (413) 586-5887

Authorized Official

Name: MS. MICHELLE KERSBERGEN
Title: BUSINESS ADMINISTRATOR
Phone: (413) 586-5887

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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