Allen Modern Dental Pllc | |
960 Ridgeview Dr Ste 100 Allen TX 75013-5543 | |
(214) 384-5748 | |
Not Available |
Full Name | Allen Modern Dental Pllc |
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Speciality | Dentist |
Location | 960 Ridgeview Dr Ste 100, Allen, Texas |
Authorized Official Name and Position | Lan Chi Le (MANAGING MEMBER) |
Authorized Official Contact | 2143845748 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Allen Modern Dental Pllc 120 E Fm 544 Ste 72 Murphy TX 75094-4035 Ph: () - | Allen Modern Dental Pllc 960 Ridgeview Dr Ste 100 Allen TX 75013-5543 Ph: (214) 384-5748 |
NPI Number | 1902678923 |
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Provider Enumeration Date | 10/24/2023 |
Last Update Date | 10/24/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902678923 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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