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Organization
MODERNA DENTAL STUDIO
Active
Organization
MODERNA DENTAL STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL ESTOJERO (PRACTICE MANAGER)
(972) 241-3488
Entity
Organization
Contact information
Practice address
13001 BEE ST, STE 140, FARMERS BRANCH, TX 75234
(972) 241-3488
(972) 241-3451
Mailing address
13001 BEE ST, STE 140, FARMERS BRANCH, TX 75234
(972) 241-3488
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609395375
NPI REGISTRY
TX
01
—
1972097384
NPI REGISTRY
TX
Enumeration date
06/10/2021
Last updated
06/10/2021
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