Individual
KORAL A MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
441 GORDON ST, SOUTH AMBOY, NJ 08879-1513
(732) 727-0474
Mailing address
441 GORDON ST, SOUTH AMBOY, NJ 08879-1513
(732) 727-0474
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22D102731800
NJ
Other
Enumeration date
09/20/2018
Last updated
09/18/2024
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