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Meril Surendra Modi, DDS
Student in an Organized Health Care Education/Training Program in Burbank, California
NPI 1295025930

Meril Surendra Modi is a Student in an Organized Health Care Education/Training Program based in Burbank, CA. Meril Surendra Modi practices in Burbank, CA and has the professional credentials of DDS. The NPI Number for Meril Surendra Modi is 1295025930 and holds a License No. (California).

The current practice location address for Meril Surendra Modi is 1112 N 3Rd St, Burbank, CA and can be reached out via phone at 818-497-7836.

Location: 1112 N 3Rd St, Burbank, CA, 91504-4301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295025930
Provider Name
Meril Surendra Modi
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1112 N 3Rd St, Burbank, CA, 91504-4301
Phone Number
818-497-7836
Fax Number
Provider Enumeration Date
04/14/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1112 N 3Rd St
City
Burbank
State
California
Zip
91504-4301
Phone Number
818-497-7836
Fax Number
person
Provider Business Mailing Address Details
Address
1112 N 3Rd St
City
Burbank
State
California
Zip
91504-4301
Phone Number
818-497-7836
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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