| NPI | 1730719345 |
|---|---|
| Doing Business As | AMERICAN MODERN DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHARAREH NIKNAM Member 281-990-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2022-02-16 |