Individual
PARAG MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
912 CONIFER TRL, SUGARCREEK TOWNSHIP, OH 45305-7531
(732) 379-2722
Mailing address
912 CONIFER TRL, SUGARCREEK TOWNSHIP, OH 45305-7531
(732) 379-2722
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.022930
OH
Other
Enumeration date
04/26/2007
Last updated
04/12/2021
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