Organization
MODEST DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRATIK RANA MD (OWNER)
(201) 706-1016
Entity
Organization
Contact information
Practice address
4025 W BELL RD STE 19, PHOENIX, AZ 85053-2749
(602) 938-2736
(602) 938-3783
Mailing address
4025 W BELL RD STE 19, PHOENIX, AZ 85053-2749
(602) 938-2736
(602) 938-3783
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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