# AMERICAN MODERN DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** American Modern Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730719345
- **Authorized official:** SHARAREH NIKNAM (MEMBER)
- **Authorized official phone:** (281) 990-1001

## Contact information

- **Practice address:** 5440 EL DORADO BLVD STE 1600, HOUSTON, TX 77059-5021
- **Practice address phone:** (281) 990-1001
- **Practice address fax:** (281) 990-1002
- **Mailing address:** 5440 EL DORADO BLVD STE 1600, HOUSTON, TX 77059-5021
- **Mailing address phone:** (281) 990-1001
- **Mailing address fax:** (281) 990-1002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/22/2020
- **Last updated:** 02/16/2022