Individual
DR. LORENZO JOSEPH MODESTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2238 TODDS LN, HAMPTON, VA 23666-3159
(757) 825-6098
(757) 826-5222
Mailing address
2238 TODDS LN, HAMPTON, VA 23666-3159
(757) 825-6098
(757) 826-5222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007928
VA
Other
Enumeration date
08/15/2006
Last updated
11/10/2014
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