Modern Dental
Modern Dental is a Dental Clinic/Center in Richardson, Texas. Licensed in Texas. Registered with an NPI since 2010.
- Licensed in
- TX
- In the registry since
- 2010
Practice location Address checks out
3610 Shire Blvd Ste 204Richardson, TX 75082-2241
Phone: (972) 578-6633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 22246 (TX) |
|---|
Record details
| NPI number | 1780998443 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mitchell Kim — President · (972) 578-6633 |
| NPI enumerated | August 4, 2010 |
| Last updated in NPPES | August 4, 2010 |
| Mailing address | 3610 Shire Blvd, Suite 204, Richardson, TX 75082-2241 |
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