Organization
RYAN LONDRY & DAVID MODLIN II DDS PLLC
Active
Other names
Harrisburg Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA KAY TRAVIS (BUSINESS MANAGER)
(704) 575-5409
Entity
Organization
Contact information
Practice address
5408 NC HIGHWAY 49 S, HARRISBURG, NC 28075-8469
(704) 455-9011
Mailing address
19810 W CATAWBA AVE STE A1, CORNELIUS, NC 28031-4056
(704) 997-8878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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