DR. Tejas K Modi, DDS

NPI #1912007600 in Perris, California

Provider Information

NPI Number: 1912007600
Entity Type: Individual
Name: DR. Tejas K Modi, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Sep 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 75 W NUEVO RD STE A B
City: Perris
State: California
ZIP Code: 92571-0801
Phone: (951) 657-1203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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