Ian E Modestow DMD

NPI 1053381178 - Dentist - 1223G0001X

NPI Details
NPI 1053381178
Gender Male
Enumeration Date 01/23/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
190 NONOTUCK ST
SUITE 103
FLORENCE MA, 01062-1911, US
Phone (413) 586-5887
Fax (413) 586-5978
Business Location
190 NONOTUCK ST
SUITE 103
FLORENCE MA, 01062-1911, US
Phone (413) 586-5887
Fax (413) 586-5978
Toxanomy
Taxonomy Code 1223G0001X
License State Massachusetts
License Number 20017
Remove 1053381178 NPI Number
 

According to our database, Dr. Ian E Modestow DMD NPI is 1053381178, taxonomy code is 1223G0001X and license number is 20017, license state is located at Massachusetts. Ian E Modestow DMD physically located at 190 Nonotuck St, Florence MA, 01062-1911. NPI Number Ian E Modestow DMD has the Individual type.

Sponsored links

1053381178 NPI number is provided on an as is basis without warranty of any kind. 1053381178 is maintained by the National Plan & Provider Enumeration System. The contents of Ian E Modestow DMD are for informational purposes only.