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Organization
LONDRY& MODLIN V DDS PLLC
Active
Organization
LONDRY& MODLIN V DDS PLLC
Active
Other names
Madison Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LISA TRAVIS (BUSINESS MANAGER)
(980) 231-5995
Entity
Organization
Contact information
Practice address
201 N DALTON ST, MADISON, NC 27025-1903
(336) 548-9678
Mailing address
19810 W CATAWBA AVE # A1, CORNELIUS, NC 28031-4056
(980) 231-5995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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