Organization
MODRALL DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY J. MODRALL DDS (OWNER/DENTIST)
(682) 688-7546
Entity
Organization
Contact information
Practice address
2310 HIGHWAY 157 N STE 102, MANSFIELD, TX 76063-8845
(682) 688-7546
(682) 688-7546
Mailing address
2310 HIGHWAY 157 N STE 102, MANSFIELD, TX 76063-8845
(682) 688-7546
(682) 688-7546
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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