Organization
MODLIN & LONDRY XIV LLC
Active
Other names
Garden City Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA HUNTER (DIRECTOR OF NETWORK RELATIONS)
(704) 780-4597
Entity
Organization
Contact information
Practice address
882 COOK RD, ORANGEBURG, SC 29118-2126
(704) 997-8878
Mailing address
PO BOX 2127, CORNELIUS, NC 28031-2127
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
10/27/2025
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