Modern Day Dental

NPI #1427783489 in St Johns, Florida

Provider Information

NPI Number: 1427783489
Entity Type: Organization
Organization Name: Modern Day Dental
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jul 22, 2022
Last Updated: Jul 22, 2022

Practice Location

Address: 2050 SAINT JOHNS PKWY STE 102
City: St Johns
State: Florida
ZIP Code: 32259-4593
Phone: (914) 494-8065

Authorized Official

Name: TARAS KULYNYCH
Title: SOLE PROPRIETOR
Phone: (914) 494-8065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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