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Organization
MODERN DENTAL
Active
Organization
MODERN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAGANDEEP KAHLON DDS (OWNER)
(979) 320-8000
Entity
Organization
Contact information
Practice address
3604 WEST LOOP UNIT A2, EL CAMPO, TX 77437-8029
(979) 320-8000
(832) 437-8754
Mailing address
3604 WEST LOOP UNIT A2, EL CAMPO, TX 77437-8029
(979) 320-8000
(832) 437-8754
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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