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A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X |
| NPI # | 1265309496 |
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| LBN Legal business name | MODERN DENTAL LLC | ||||||||
| Authorized official | CHRIS DIAZ-FREED - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 10/22/2025 | ||||||||
| Last updated | 10/22/2025 - About 7 months ago | ||||||||
| Identifiers |
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MODERN DENTAL LLC