IDEEN MODARRES

CHICAGO, IL
NPI1770278046
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019.035125)
Enumeration Date2023-04-11
Last Update Date2024-07-25
Business Address
Dr. IDEEN MODARRES DDS
801 S PAULINA ST
CHICAGO, IL 60612-7210
Phone number: 312-996-7555
Mailing Address
Dr. IDEEN MODARRES DDS
11013 PICASSO LN
POTOMAC, MD 20854-1713
Phone number: 240-595-3594
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