MODERN DENTAL

RICHARDSON, TX
NPI1780998443
Entity TypeOrganization
Authorized ContactMITCHELL KIM
President
972-578-6633
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: TX  22246)
Enumeration Date2010-08-04
Last Update Date2010-08-04
Business Address
MODERN DENTAL
3610 SHIRE BLVD SUITE 204
RICHARDSON, TX 75082-2241
Phone number: 972-578-6633
Mailing Address
MODERN DENTAL
3610 SHIRE BLVD SUITE 204
RICHARDSON, TX 75082-2241
Phone number: 972-578-6633
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