DR. Andrew Modi, DDS

NPI #1538353818 in Lake Villa, Illinois

Provider Information

NPI Number: 1538353818
Entity Type: Individual
Name: DR. Andrew Modi, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 30, 2007
Last Updated: Nov 7, 2007

Practice Location

Address: 95 W GRAND AVE
City: Lake Villa
State: Illinois
ZIP Code: 60046-8641
Phone: (847) 356-2336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

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De Los Reyes Dental Ltd.	Dentist - General Practice	Lake Villa	AI Deep Dive

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