| Winter Haven Modern Dentistry, Pa | |
|
565 Cypress Gardens Blvd Winter Haven FL 33880-4406 | |
| (863) 656-4777 | |
| Not Available |
| Full Name | Winter Haven Modern Dentistry, Pa |
|---|---|
| Speciality | Dentist |
| Location | 565 Cypress Gardens Blvd, Winter Haven, Florida |
| Authorized Official Name and Position | Katie L Mccann Lee (OWNER/GP) |
| Authorized Official Contact | 8636564777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winter Haven Modern Dentistry, Pa 17000 Red Hill Ave Irvine CA 92614-5626 Ph: () - | Winter Haven Modern Dentistry, Pa 565 Cypress Gardens Blvd Winter Haven FL 33880-4406 Ph: (863) 656-4777 |
| NPI Number | 1629615497 |
|---|---|
| Provider Enumeration Date | 11/29/2019 |
| Last Update Date | 11/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629615497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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