Organization
MODERN DAY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARAS KULYNYCH (SOLE PROPRIETOR)
(914) 494-8065
Entity
Organization
Contact information
Practice address
2050 SAINT JOHNS PKWY STE 102, ST JOHNS, FL 32259-4593
(914) 494-8065
Mailing address
2050 SAINT JOHNS PKWY STE 102, ST JOHNS, FL 32259-4593
(914) 494-8065
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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