Individual
DR. DANIELA MODESTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2797 NE 207TH ST, AVENTURA, FL 33180-1471
(305) 935-2797
(305) 937-4834
Mailing address
2500 E COMMERCIAL BLVD, STE G, FORT LAUDERDALE, FL 33308-4124
(954) 990-6278
(954) 990-6293
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17097
FL
Other
Enumeration date
01/24/2007
Last updated
02/05/2016
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