| Ali Modiri DDS PC | |
|
44 Strawberry Hill Ave Suite 1 Stamford CT 06902-2632 | |
| (203) 504-5870 | |
| Not Available |
| Full Name | Ali Modiri DDS PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 44 Strawberry Hill Ave, Stamford, Connecticut |
| Authorized Official Name and Position | Ali Modiri (PRESIDENT) |
| Authorized Official Contact | 9176585823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ali Modiri DDS PC 420 E 64th St Apt W3f New York NY 10065-7862 Ph: (917) 658-5823 | Ali Modiri DDS PC 44 Strawberry Hill Ave Suite 1 Stamford CT 06902-2632 Ph: (203) 504-5870 |
| NPI Number | 1114218427 |
|---|---|
| Provider Enumeration Date | 04/21/2011 |
| Last Update Date | 01/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114218427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 050220 (New York) | Primary |
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