DR. Tessa M Modiri, DDS

NPI #1255632451 in Abingdon, Maryland

Provider Information

NPI Number: 1255632451
Entity Type: Individual
Name: DR. Tessa M Modiri, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 4, 2010
Last Updated: Jan 4, 2012

Practice Location

Address: 3105 EMMORTON RD
Address 2: STE 2A
City: Abingdon
State: Maryland
ZIP Code: 21009-2582
Phone: (410) 569-3555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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