Individual
DR. RIMA MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
702 S WEBER RD UNIT 1509, ROMEOVILLE, IL 60446-3058
(512) 514-3671
Mailing address
221 N WEBER RD, BOLINGBROOK, IL 60490-1508
(331) 757-4181
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.032782
IL
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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