Modrall Dentistry, PA

NPI #1114721909 in Mansfield, Texas

Provider Information

NPI Number
1114721909
Entity Type
Organization
Organization Name
Modrall Dentistry, PA
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 2, 2025
Last Updated
Apr 2, 2025

Practice Location

Address
2310 HIGHWAY 157 N STE 102
State
Texas
ZIP Code
76063-8845
Phone
(682) 688-7546

Authorized Official

Name
DR. AMY J. MODRALL, DDS
Title
OWNER/DENTIST
Phone
(682) 688-7546

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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