| NPI | 1548012875 |
|---|---|
| Doing Business As | MODERN DENTAL OF KERNERSVILLE |
| Entity Type | Organization |
| Authorized Contact | JENNY GARCIA ROCHA Sr Team Lead 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2024-04-02 |