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Organization

DANIELS MODERN DENTISTRY, PA

Active
Other names
DANIELS MODERN DENTISTRY
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATIE L MCCANN LEE DDS (OWNER/DDS)
(239) 288-0537
Entity
Organization

Contact information

Practice address
6871 DANIELS PARKWAY, SUITE 100, FORT MYERS, FL 33912
(239) 288-0537
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8280

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
05/22/2018
Last updated
08/25/2022
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