Organization
DAVID MODLIN & RYAN LONDRY II DDS PLLC
Active
Other names
Greensboro Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA KAY TRAVIS (BUSINESS MANAGER)
(980) 231-5995
Entity
Organization
Contact information
Practice address
5506 W FRIENDLY AVE, GREENSBORO, NC 27410-4273
(336) 203-9464
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
06/05/2018
Last updated
05/21/2024
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