# KILLEEN MODERN DENTISTRY, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Killeen Modern Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275034597
- **Authorized official:** DR. ANDY HUANG DDS (OWNER DENTIST)
- **Authorized official phone:** (254) 870-9209

## Contact information

- **Practice address:** 507 W STAN SCHLUETER LOOP, SUITE 104, KILLEEN, TX 76542
- **Practice address phone:** (254) 870-9209
- **Practice address fax:** (254) 870-9886
- **Mailing address:** PO BOX 920050, DALLAS, TX 75392-0050
- **Mailing address phone:** (714) 845-8500
- **Mailing address fax:** (303) 952-0892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2018
- **Last updated:** 06/14/2022