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Organization
ATRIUM MODERN DENTAL
Active
Organization
ATRIUM MODERN DENTAL
Active
Parent organization
ATRIUM MODERN DENTAL
Other names
Atrium Modern Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATRIUM MODERN DENTAL
Authorized official
MYKE NGUYEN (OWNER)
(972) 686-5401
Entity
Organization
Contact information
Practice address
9401 LYNDON B JOHNSON FWY STE 200, DALLAS, TX 75243-4548
(972) 686-5401
Mailing address
9401 LYNDON B JOHNSON FWY STE 200, DALLAS, TX 75243-4548
(972) 686-5401
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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