Organization
OSAMA S MODJODIDI DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSAMA S MODJODIDI DMD (DENTIST)
(757) 497-8611
Entity
Organization
Contact information
Practice address
5101 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23462
(757) 497-8611
Mailing address
5101 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23462
(757) 497-8611
(757) 499-7730
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
0401410783
VA
Other
Enumeration date
12/15/2006
Last updated
07/18/2008
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