Organization
AMERICAN MODERN DENTAL
Active
Other names
American Modern Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SHARAREH NIKNAM (MEMBER)
(281) 990-1001
Entity
Organization
Contact information
Practice address
5440 EL DORADO BLVD STE 1600, HOUSTON, TX 77059-5021
(281) 990-1001
(281) 990-1002
Mailing address
5440 EL DORADO BLVD STE 1600, HOUSTON, TX 77059-5021
(281) 990-1001
(281) 990-1002
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
02/16/2022
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