Organization
MODLIN & LONDRY XII DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JALONDA SWEENEY (CREDENTIALING SPECIALIST)
(704) 997-8878
Entity
Organization
Contact information
Practice address
831 S MAIN ST, MARS HILL, NC 28754-6273
(828) 689-4311
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
05/17/2023
Last updated
05/17/2023
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