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Organization
ODESSA MODERN DENTISTRY, PA
Active
Organization
ODESSA MODERN DENTISTRY, PA
Active
Other names
ODESSA MODERN DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS BUTTON DDS (OWNER)
(813) 279-6537
Entity
Organization
Contact information
Practice address
13484 PINE GAP SPUR, ODESSA, FL 33556-2542
(813) 279-6537
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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