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Organization
MODI AND SHAH D.D.S. INC.,
Active
Organization
MODI AND SHAH D.D.S. INC.,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEJAS MODI (PRESIDENT)
(951) 246-8000
Entity
Organization
Contact information
Practice address
28039 SCOTT RD STE I, MURRIETA, CA 92563-7430
(951) 246-8000
(951) 246-8002
Mailing address
28039 SCOTT RD STE I, MURRIETA, CA 92563-7430
(951) 246-8000
(951) 246-8002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D47131
CA
122300000X
Dentist
D50823
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D43182
CA
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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