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Organization

CORAL SPRINGS MODERN DENTISTRY, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATIE L. MCCANN (DDS/OWNER)
(954) 314-8343
Entity
Organization

Contact information

Practice address
5810 WILES RD, CORAL SPRINGS, FL 33067
(954) 314-8343
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
07/13/2017
Last updated
08/25/2022
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