Nishit R Modi
NPI #1073744777 in Southington, Connecticut
Provider Information
- NPI Number
- 1073744777
- Entity Type
- Individual
- Name
- Nishit R Modi
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 30, 2009
- Last Updated
- Dec 17, 2012
Practice Location
- Address
- 685 QUEEN ST
- Address 2
- #3
- City
- Southington
- State
- Connecticut
- ZIP Code
- 06489-1547
- Phone
- (860) 863-5831
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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