License holder summary

Srismitha Modem is a Dentistry - Dentist licensed to practice in Massachusetts. The address on file for Srismitha Modem is United States, West Roxbury 02132. This licensed professional license is current. The license was granted 05/27/2005 and expired on 03/31/2018.

Massachusetts

Division of Professional Licensure

Srismitha Modem
Dentistry - Dentist
License number
DN21334
Date granted
05/27/2005
Date expires
03/31/2018
Class
Dentistry - Dentist
Status
Current
Address
United States
licensingma.org
ID 38598682
LAST UPDATED 2026-06-02 17:59:12 UTC

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