Organization
DENTISTS OF MELBOURNE, PA
Active
Other names
Dentists of Melbourne
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATIE L MCCANN LEE DDS (OWNER)
(321) 420-4142
Entity
Organization
Contact information
Practice address
6455 N WICKHAM RD STE 103, MELBOURNE, FL 32940-2020
(321) 420-4142
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/14/2017
Last updated
12/17/2018
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