Individual
DIPTI A MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
441 GORDON ST, SOUTH AMBOY, NJ 08879-1513
(732) 727-0474
(732) 727-1026
Mailing address
441 GORDON ST, SOUTH AMBOY, NJ 08879-1513
(732) 727-0474
(732) 727-1026
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI 018381
NJ
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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