Organization
FISHHAWK MODERN DENTISTRY, PA
Active
Other names
Fishhawk Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATIE L MCCANN LEE DDS (OWNER/GP)
(813) 563-8108
Entity
Organization
Contact information
Practice address
16509 FISHHAWK BLVD, LITHIA, FL 33547-3835
(813) 563-8108
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/29/2019
Last updated
08/25/2022
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