Organization
CAMDEN DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRINDER MODGIL DDS (CEO)
(315) 245-1445
Entity
Organization
Contact information
Practice address
68 MAIN ST, CAMDEN, NY 13316-1338
(315) 245-1445
Mailing address
68 MAIN ST, PO BOX 436, CAMDEN, NY 13316-1338
(315) 245-1445
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052354
NY
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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