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Organization
VIERA MODERN DENTISTRY, PA
Active
Organization
VIERA MODERN DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE L MCCANN (DDS / OWNER)
(321) 203-5251
Entity
Organization
Contact information
Practice address
2328 CITADEL WAY, SUITE 101, MELBOURNE, FL 32940
(321) 203-5251
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
08/21/2017
Last updated
08/21/2017
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