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Organization

FONTAINEBLEAU DENTISTRY, PA

Active
Other names
Fontainebleau Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATIE L MCCANN DDS (OWNER)
(786) 418-3074
Entity
Organization

Contact information

Practice address
9971 W FLAGLER ST, 220, MIAMI, FL 33174-1810
(786) 418-3074
(786) 619-3746
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(949) 474-1495

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
12/28/2015
Last updated
08/25/2022
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