Grand Prairie Modern Dentistry, Pc Dental Clinic

Get detailed information about Grand Prairie Modern Dentistry, Pc dental clinic in Irvine California.
Grand Prairie Modern Dentistry, Pc (GRAND PRAIRIE MODERN DENTISTRY, PC) is a Dental Clinic in Grand Prairie, Texas. Dental care clinics provide dental treatment and oral care to patients of all ages. The NPI Number for Grand Prairie Modern Dentistry, Pc is 1952946279.

The current location address for Grand Prairie Modern Dentistry, Pc is 1215 Arkansas Ln Ste 100, , Grand Prairie, Texas and the contact number is 469-701-2344 and fax number is --. The mailing address for Grand Prairie Modern Dentistry, Pc is 17000 Red Hill Ave, , Irvine, California - 92614-5626 (mailing address contact number - --).


Provider Profile Details:
Clinic NameGrand Prairie Modern Dentistry, Pc
Provider OrganizationGRAND PRAIRIE MODERN DENTISTRY, PC
Address1215 Arkansas Ln Ste 100, ,
Grand Prairie
Texas, 75052-7276
Phone Number469-701-2344
Fax Number--
Authorized Official NameJeffrey L Roberts
Authorized Official Title/PositionOwner
Authorized Official Contact Number469-701-2344
NPI Number Details:
NPI Number1952946279
Provider Enumeration Date11/11/2019
Last Update Date17/03/2021
Provider Business Mailing Address Details:
Address17000 Red Hill Ave,
CityIrvine
StateCalifornia
Zip92614-5626
Phone Number--
Fax Number--
Provider's Primary Taxonomy Details:
TypeDental Providers
SpecialityDentist
Taxonomy122300000X

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