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Organization
LADY LAKE SMILES DENTISTRY, PA
Active
Organization
LADY LAKE SMILES DENTISTRY, PA
Active
Other names
Lady Lake Smiles Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATIE L MCCANN DDS (OWNER DENTIST)
(352) 282-4785
Entity
Organization
Contact information
Practice address
870 N US HIGHWAY 27, A, LADY LAKE, FL 32159-3107
(352) 282-4785
(352) 432-0752
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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