Individual
DR. DAVID MICHAEL MODLIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8128 RENAISSANCE PKWY, SUITE 203, DURHAM, NC 27713-6695
(919) 493-3355
Mailing address
27 KISSIMEE CT, DURHAM, NC 27713-6541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9129
NC
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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