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Organization
WEST PINES MODERN DENTISTRY, PA
Active
Organization
WEST PINES MODERN DENTISTRY, PA
Active
Other names
West Pines Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE MCCANN (OWNER)
(786) 204-0713
Entity
Organization
Contact information
Practice address
18312 PINES BLVD, PEMBROKE PINES, FL 33029-1412
(786) 204-0713
(786) 204-0714
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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