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1699276279
CHARUTA MODAK
BALTIMORE, MD
NPI
1699276279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MD 16669)
Enumeration Date
2018-02-28
Last Update Date
2018-02-28
Business Address
Dr. CHARUTA MODAK DMD
4510 EDMONDSON AVE
BALTIMORE, MD 21229-1506
Phone number: 410-233-5777
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Mailing Address
Dr. CHARUTA MODAK DMD
3141 SONIA TRL
ELLICOTT CITY, MD 21043-3276
Phone number: 405-208-9823
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