# MODERN DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538865712
- **Authorized official:** KATHERINE ESTRADA (MANAGER)
- **Authorized official phone:** (703) 606-1305

## Contact information

- **Practice address:** 7410 HULL STREET RD STE 101, NORTH CHESTERFIELD, VA 23235-5834
- **Practice address phone:** (804) 510-0433
- **Mailing address:** 7410 HULL STREET RD STE 101, NORTH CHESTERFIELD, VA 23235-5834
- **Mailing address phone:** (804) 510-0433

## Taxonomy

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

## Other

- **Enumeration date:** 01/31/2023
- **Last updated:** 01/31/2023