IAN E MODESTOW

FLORENCE, MA
NPI1053381178
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MA  20017)
Enumeration Date2006-01-23
Last Update Date2007-07-08
Business Address
Dr. IAN E MODESTOW DMD
190 NONOTUCK ST SUITE 103
FLORENCE, MA 01062-1911
Phone number: 413-586-5887
Mailing Address
Dr. IAN E MODESTOW DMD
190 NONOTUCK ST SUITE 103
FLORENCE, MA 01062-1911
Phone number: 413-586-5887
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