IDEEN MODARRES

NEW YORK, NY
NPI1770278046
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MD  NA)
Enumeration Date2023-04-11
Last Update Date2023-04-11
Business Address
Dr. IDEEN MODARRES DDS
1824 MADISON AVE
NEW YORK, NY 10035-3832
Phone number: 212-423-4500
Mailing Address
Dr. IDEEN MODARRES DDS
11013 PICASSO LN
POTOMAC, MD 20854-1713
Phone number: 240-595-3594