Individual
RONAK NITIN MODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
2900 SEMINARY DR BLDG E, GREENSBURG, PA 15601-3734
(951) 271-2354
Mailing address
1230 GREYSTONE LN, CORONA, CA 92882-8608
(951) 271-2354
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS102096
CA
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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