Organization
MODERN DENTAL CARE PC
Active
Other names
Smiles Modern Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN WILLIS DDS (OWNER)
(972) 540-1886
Entity
Organization
Contact information
Practice address
1750 N STONEBRIDGE DR, #105, MCKINNEY, TX 75071-7551
(972) 540-1886
(972) 540-0770
Mailing address
1750 N STONEBRIDGE DR, #105, MCKINNEY, TX 75071-7551
(972) 540-1886
(972) 540-0770
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
25069
TX
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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