Allen Modern Dental Pllc

NPI #1902678923 in Allen, Texas

Provider Information

NPI Number: 1902678923
Entity Type: Organization
Organization Name: Allen Modern Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 24, 2023
Last Updated: Oct 24, 2023

Practice Location

Address: 960 RIDGEVIEW DR STE 100
City: Allen
State: Texas
ZIP Code: 75013-5543
Phone: (214) 384-5748

Authorized Official

Name: DR. LAN CHI LE, DDS
Title: MANAGING MEMBER
Phone: (214) 384-5748

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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