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Organization
WINTER HAVEN MODERN DENTISTRY, PA
Active
Organization
WINTER HAVEN MODERN DENTISTRY, PA
Active
Other names
Winter Haven Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATIE L MCCANN LEE DDS (OWNER/GP)
(863) 656-4777
Entity
Organization
Contact information
Practice address
565 CYPRESS GARDENS BLVD, WINTER HAVEN, FL 33880-4406
(863) 656-4777
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/29/2019
Last updated
11/29/2019
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