DIPTI A MODI DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024410

License Status

INACTIVE

Business

First Name

DIPTI A

Last Name

MODI

Suffix

DDS

Business Name

DIPTI A MODI DDS

Original Issue Date

03/14/1997

Effective Date

03/14/1997

Expiration Date

09/30/1998

City

WOODBRIDGE

State

Zip

07095

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

10/12/2005