Individual
HARSHAL VASANT MODH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
635 ALBANY ST, BOSTON, MA 02118-3550
(617) 638-4600
Mailing address
635 ALBANY ST, BOSTON, MA 02118-3550
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DL101100
MA
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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