| Modern Day Dental | |
|
2050 Saint Johns Pkwy Ste 102 St Johns FL 32259-4593 | |
| (914) 494-8065 | |
| Not Available |
| Full Name | Modern Day Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2050 Saint Johns Pkwy Ste 102, St Johns, Florida |
| Authorized Official Name and Position | Taras Kulynych (SOLE PROPRIETOR) |
| Authorized Official Contact | 9144948065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Day Dental 2050 Saint Johns Pkwy Ste 102 St Johns FL 32259-4593 Ph: (914) 494-8065 | Modern Day Dental 2050 Saint Johns Pkwy Ste 102 St Johns FL 32259-4593 Ph: (914) 494-8065 |
| NPI Number | 1427783489 |
|---|---|
| Provider Enumeration Date | 07/22/2022 |
| Last Update Date | 07/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427783489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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