Organization
DAVIE MODERN DENTISTRY, PA
Active
Other names
Davie Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATIE L MCCANN DDS (OWNER,DENTIST)
(954) 248-2742
Entity
Organization
Contact information
Practice address
5796 S UNIVERSITY DR, 102, DAVIE, FL 33328
(954) 248-2742
(954) 251-4141
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
02/26/2016
Last updated
02/26/2016
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