Organization · Type 2 NPI
Modrall Dentistry, PA
Dental Clinic/Center · Mansfield, TX
NPI number
1114721909
Active
Practice location
2310 Highway 157 N Ste 102
Mansfield, TX 76063-8845
Fax (682) 688-7546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1114721909
Modrall Dentistry, PA's National Provider Identifier is 1114721909, issued on Apr 2, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Mansfield, TX. The record was last updated on Apr 2, 2025.