| NPI | 1275034597 |
|---|---|
| Doing Business As | KILLEEN MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ANDY HUANG Owner Dentist 254-870-9209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2022-06-14 |