Individual
DR. JOSEPH SAMUEL MODICA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
150 MAPLE RD, WILLIAMSVILLE, NY 14221-2930
(716) 634-1333
(716) 634-6828
Mailing address
150 MAPLE RD, WILLIAMSVILLE, NY 14221-2930
(716) 634-1333
(716) 634-6828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
036999
NY
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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