Organization
MODLIN & LONDRY VIII DDS PLLC
Active
Other names
Elkin Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA KAY TRAVIS (BUSINESS MANAGER)
(828) 850-4316
Entity
Organization
Contact information
Practice address
320 PARKWOOD MEDICAL PARK, ELKIN, NC 28621-2444
(336) 835-7113
Mailing address
19810 W CATAWBA AVE # A1, CORNELIUS, NC 28031-4056
(704) 997-8878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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