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Organization
MODI DENTAL CORPORATION
Active
Organization
MODI DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HITESHKUMAR M MODI DDS (DENTIST)
(209) 556-9696
Entity
Organization
Contact information
Practice address
1633 E HATCH RD STE H, MODESTO, CA 95351-5080
(209) 556-9696
Mailing address
1633 E HATCH RD STE H, MODESTO, CA 95351-5080
(209) 556-9696
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
50494
CA
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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