# MODLIN& LONDRY IV DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ghorshi Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821569732
- **Authorized official:** LISA TRAVIS (BUSINESS MANAGER)
- **Authorized official phone:** (704) 575-5409

## Contact information

- **Practice address:** 11301 GOLF LINKS DR N STE 201, CHARLOTTE, NC 28277-8014
- **Practice address phone:** (704) 321-3244
- **Mailing address:** 19810 W CATAWBA AVE \# A1, CORNELIUS, NC 28031-4056
- **Mailing address phone:** (704) 997-8878

## Taxonomy

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

## Other

- **Enumeration date:** 12/17/2018
- **Last updated:** 12/17/2018