DR. Srismitha Modem, DMD
NPI #1295892297 in Revere, Massachusetts
Provider Information
- NPI Number
- 1295892297
- Entity Type
- Individual
- Name
- DR. Srismitha Modem, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jan 2, 2007
- Last Updated
- Aug 20, 2013
Practice Location
- Address
- 339 SQUIRE RD
- Address 2
- SUITE 150
- City
- Revere
- State
- Massachusetts
- ZIP Code
- 02151-4309
- Phone
- (781) 286-7510
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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