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Modern Dental
Dental Clinic/Center in Richardson, Texas
NPI 1780998443

Modern Dental is a Dental Clinic/Center based in Richardson, TX and is specialized in Dental. Modern Dental practices in Richardson, TX. The NPI Number for Modern Dental is 1780998443 and holds a License No. 22246 (Texas).

The current practice location address for Modern Dental is 3610 Shire Blvd, Richardson, TX and can be reached out via phone at 972-578-6633.

Location: 3610 Shire Blvd, Richardson, TX, 75082-2241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780998443
Provider Name
Modern Dental
Credential
Provider Entity Type
Organization
Address
3610 Shire Blvd, Richardson, TX, 75082-2241
Phone Number
972-578-6633
Fax Number
Provider Enumeration Date
08/04/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3610 Shire Blvd
City
Richardson
State
Texas
Zip
75082-2241
Phone Number
972-578-6633
Fax Number
person
Provider Business Mailing Address Details
Address
3610 Shire Blvd
City
Richardson
State
Texas
Zip
75082-2241
Phone Number
972-578-6633
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
22246 (Texas)
Definition
Definition to come...
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