Modern Dental

NPI #1114586161 in El Campo, Texas

Provider Information

NPI Number: 1114586161
Entity Type: Organization
Organization Name: Modern Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 12, 2019
Last Updated: Jun 12, 2019

Practice Location

Address: 3604 WEST LOOP UNIT A2
City: El Campo
State: Texas
ZIP Code: 77437-8029
Phone: (979) 320-8000

Authorized Official

Name: GAGANDEEP KAHLON, DDS
Title: OWNER
Phone: (979) 320-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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