# ALLEN MODERN DENTAL PLLC

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

## Provider details

- **NPI number:** 1902678923
- **Authorized official:** DR. LAN CHI LE DDS (MANAGING MEMBER)
- **Authorized official phone:** (214) 384-5748

## Contact information

- **Practice address:** 960 RIDGEVIEW DR STE 100, ALLEN, TX 75013-5543
- **Practice address phone:** (214) 384-5748
- **Mailing address:** 120 E FM 544 STE 72, MURPHY, TX 75094-4035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2023
- **Last updated:** 10/24/2023