Modern Dental LLC
NPI #1265309496 in Sioux Falls, South Dakota
Provider Information
- NPI Number
- 1265309496
- Entity Type
- Organization
- Organization Name
- Modern Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 22, 2025
- Last Updated
- Oct 22, 2025
Practice Location
- Address
- 5912 E 18 STREET
- City
- Sioux Falls
- State
- South Dakota
- ZIP Code
- 57110
- Phone
- (605) 261-4697
Authorized Official
- Name
- DR. CHRIS DIAZ-FREED, DDS
- Title
- OWNER
- Phone
- (605) 261-4697
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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