Port Orange Modern Dentistry, Pa Dental Clinic

Get detailed information about Port Orange Modern Dentistry, Pa dental clinic in Irvine California.
Port Orange Modern Dentistry, Pa (PORT ORANGE MODERN DENTISTRY, PA) is a Dental Clinic in Port Orange, Florida. Dental care clinics provide dental treatment and oral care to patients of all ages. The NPI Number for Port Orange Modern Dentistry, Pa is 1982179818.

The current location address for Port Orange Modern Dentistry, Pa is 1765 Dunlawton Ave., Suite 103, Port Orange, Florida and the contact number is 386-259-3905 and fax number is 386-259-3905. The mailing address for Port Orange Modern Dentistry, Pa is 17000 Red Hill Ave, , Irvine, California - 92614-5626 (mailing address contact number - 714-845-8890).


Provider Profile Details:
Clinic NamePort Orange Modern Dentistry, Pa
Provider OrganizationPORT ORANGE MODERN DENTISTRY, PA
Address1765 Dunlawton Ave., Suite 103,
Port Orange
Florida, 32129
Phone Number386-259-3905
Fax Number386-259-3905
Authorized Official NameDr. Minh B Pham
Authorized Official Title/PositionOwner/gp
Authorized Official Contact Number386-259-3905
NPI Number Details:
NPI Number1982179818
Provider Enumeration Date10/08/2018
Last Update Date05/04/2021
Provider Business Mailing Address Details:
Address17000 Red Hill Ave,
CityIrvine
StateCalifornia
Zip92614-5626
Phone Number714-845-8890
Fax Number303-952-0892
Provider's Primary Taxonomy Details:
TypeDental Providers
SpecialityDentist
Taxonomy122300000X

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