Ian E Modestow, Dmd
NPI #1083902266 in Florence, Massachusetts
Provider Information
- NPI Number
- 1083902266
- Entity Type
- Organization
- Organization Name
- Ian E Modestow, Dmd
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 21, 2011
- Last Updated
- Jul 21, 2011
Practice Location
- Address
- 190 NONOTUCK ST
- Address 2
- SUITE 101
- City
- Florence
- State
- Massachusetts
- ZIP Code
- 01062-1962
- Phone
- (413) 586-5887
Authorized Official
- Name
- MS. MICHELLE KERSBERGEN
- Title
- OFFICE MANAGER
- Phone
- (413) 586-5887
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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