Dipti A Modi, DDS

NPI #1306989900 in South Amboy, New Jersey

Provider Information

NPI Number
1306989900
Entity Type
Individual
Name
Dipti A Modi, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Feb 14, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
441 GORDON ST
ZIP Code
08879-1513
Phone
(732) 727-0474

Specialties & Taxonomy Codes

Specialty
Dentist

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