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Organization
MODERN FAMILY DENTISTRY
Active
Organization
MODERN FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S MASTERSON DMD (OWNER)
(352) 795-1223
Entity
Organization
Contact information
Practice address
1815 SE US HIGHWAY 19, CRYSTAL RIVER, FL 34429-9065
(352) 795-1223
(352) 453-5547
Mailing address
1815 SE US HIGHWAY 19, CRYSTAL RIVER, FL 34429-9065
(352) 795-1223
(352) 453-5547
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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