Individual
DR. TESSA M MODIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3105 EMMORTON RD, STE 2A, ABINGDON, MD 21009-2582
(410) 569-3555
(410) 569-7749
Mailing address
3105 EMMORTON RD, STE 2A, ABINGDON, MD 21009-2582
(410) 569-3555
(410) 569-7749
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14504
MD
Other
Enumeration date
11/04/2010
Last updated
01/04/2012
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