| Allen Modern Dental Pllc | |
|
960 Ridgeview Dr Ste 100 Allen TX 75013-5543 | |
| (214) 384-5748 | |
| Not Available |
| Full Name | Allen Modern Dental Pllc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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