Organization
LONDRY & MODLIN IV DDS PLLC
Active
Other names
Midlakes Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN MICHAEL LONDRY DDS (OWNER)
(919) 270-6096
Entity
Organization
Contact information
Practice address
6573 BOB WHITE TRL, STANLEY, NC 28164-9797
(704) 827-4396
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
09/20/2018
Last updated
09/20/2018
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