Individual
DR. DAVID MICHAEL MODLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
200 S FIFTH ST, MEBANE, NC 27302-2704
(919) 563-2990
Mailing address
PO BOX 465, MEBANE, NC 27302-0465
(919) 563-2990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4097
NC
Other
Enumeration date
11/12/2006
Last updated
07/08/2007
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