Organization
ALI MODIRI DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI MODIRI DENTIST (PRESIDENT)
(917) 658-5823
Entity
Organization
Contact information
Practice address
44 STRAWBERRY HILL AVE, SUITE 1, STAMFORD, CT 06902-2632
(203) 504-5870
Mailing address
420 E 64TH ST APT W3F, NEW YORK, NY 10065-7862
(917) 658-5823
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050220
NY
Other
Enumeration date
04/21/2011
Last updated
01/12/2012
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