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Organization
MARVEL SMILE DENTAL
Active
Organization
MARVEL SMILE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NISHA MODI (DENTIST)
(469) 346-6612
Entity
Organization
Contact information
Practice address
800 W ELDORADO PKWY STE 124, LITTLE ELM, TX 75068-5134
(469) 346-6612
Mailing address
800 W ELDORADO PKWY STE 124, LITTLE ELM, TX 75068-5134
(469) 346-6612
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/20/2026
Last updated
08/20/2026
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