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1780998443
MODERN DENTAL
RICHARDSON, TX
NPI
1780998443
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Entity Type
Organization
Authorized Contact
MITCHELL KIM
President
972-578-6633
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: TX 22246)
Enumeration Date
2010-08-04
Last Update Date
2010-08-04
Business Address
MODERN DENTAL
3610 SHIRE BLVD SUITE 204
RICHARDSON, TX 75082-2241
Phone number: 972-578-6633
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Mailing Address
MODERN DENTAL
3610 SHIRE BLVD SUITE 204
RICHARDSON, TX 75082-2241
Phone number: 972-578-6633
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