Modern Dental | |
3604 West Loop Unit A2 El Campo TX 77437-8029 | |
(979) 320-8000 | |
(832) 437-8754 |
Full Name | Modern Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 3604 West Loop Unit A2, El Campo, Texas |
Authorized Official Name and Position | Gagandeep Kahlon (OWNER) |
Authorized Official Contact | 9793208000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Modern Dental 3604 West Loop Unit A2 El Campo TX 77437-8029 Ph: (979) 320-8000 | Modern Dental 3604 West Loop Unit A2 El Campo TX 77437-8029 Ph: (979) 320-8000 |
NPI Number | 1114586161 |
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Provider Enumeration Date | 06/12/2019 |
Last Update Date | 06/12/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114586161 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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