Modern Family Dentistry

NPI #1427747880 in Crystal River, Florida

Provider Information

NPI Number: 1427747880
Entity Type: Organization
Organization Name: Modern Family Dentistry
Primary Specialty: Dentist
Enumeration Date: May 2, 2023
Last Updated: May 2, 2023

Practice Location

Address: 1815 SE US HIGHWAY 19
City: Crystal River
State: Florida
ZIP Code: 34429-9065
Phone: (352) 795-1223

Authorized Official

Name: MICHAEL S MASTERSON, DMD
Title: OWNER
Phone: (352) 795-1223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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