Modern Dental
NPI #1780998443 in Richardson, Texas
Provider Information
- NPI Number
- 1780998443
- Entity Type
- Organization
- Organization Name
- Modern Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 4, 2010
- Last Updated
- Aug 4, 2010
Practice Location
- Address
- 3610 SHIRE BLVD
- Address 2
- SUITE 204
- City
- Richardson
- State
- Texas
- ZIP Code
- 75082-2241
- Phone
- (972) 578-6633
Authorized Official
- Name
- DR. MITCHELL KIM, D.D.S.
- Title
- PRESIDENT
- Phone
- (972) 578-6633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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