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Organization

MODERN DENTAL SMILES OF WELLINGTON PA

Active
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Organization

MODERN DENTAL SMILES OF WELLINGTON PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KURT O BALLY DMD (OWNER DENTIST)
(954) 806-6229
Entity
Organization

Contact information

Practice address
13860 WELLINGTON TRCE STE 14, WELLINGTON, FL 33414-8590
(561) 791-4440
Mailing address
13860 WELLINGTON TRCE STE 14, WELLINGTON, FL 33414-8590
(561) 791-4440

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
03/19/2026
Last updated
03/19/2026
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