Organization
MOHIT MODGIL DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHIT MODGIL DDS (OWNER)
(631) 472-3333
Entity
Organization
Contact information
Practice address
594 MONTAUK HWY, BAYPORT, NY 11705-1628
(631) 472-3333
Mailing address
594 MONTAUK HWY, BAYPORT, NY 11705-1628
(631) 472-3333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/18/2016
Last updated
08/11/2016
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