| NPI | 1801562624 |
|---|---|
| Doing Business As | MODA SMILES DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANH-THU DANG President 678-716-7700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2022-02-12 |