Organization
LONDRY & MODLIN XV DDS PLLC
Active
Other names
Pleasant Garden Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LISA TRAVIS (DIRECTOR OF FINANCE)
(704) 997-8878
Entity
Organization
Contact information
Practice address
2607 TABERNACLE CHURCH RD, PLEASANT GARDEN, NC 27313-9283
(336) 674-2325
Mailing address
20311 CHARTWELL CENTER DR., PO BOX 2127, CORNELIUS, NC 28031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
07/21/2025
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