# RYAN LONDRY & DAVID MODLIN II DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Harrisburg Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184134751
- **Authorized official:** MRS. LISA KAY TRAVIS (BUSINESS MANAGER)
- **Authorized official phone:** (704) 575-5409

## Contact information

- **Practice address:** 5408 NC HIGHWAY 49 S, HARRISBURG, NC 28075-8469
- **Practice address phone:** (704) 455-9011
- **Mailing address:** 19810 W CATAWBA AVE STE A1, CORNELIUS, NC 28031-4056
- **Mailing address phone:** (704) 997-8878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/09/2017
- **Last updated:** 10/09/2017