Organization
MODLIN& LONDRY IV DDS PLLC
Active
Other names
Ghorshi Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
LISA TRAVIS (BUSINESS MANAGER)
(704) 575-5409
Entity
Organization
Contact information
Practice address
11301 GOLF LINKS DR N STE 201, CHARLOTTE, NC 28277-8014
(704) 321-3244
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
12/17/2018
Last updated
12/17/2018
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