Winter Haven Modern Dentistry, PA
NPI #1629615497 in Winter Haven, Florida
Provider Information
- NPI Number
- 1629615497
- Entity Type
- Organization
- Organization Name
- Winter Haven Modern Dentistry, PA
- Primary Specialty
- Dentist
- Enumeration Date
- Nov 29, 2019
- Last Updated
- Nov 29, 2019
Practice Location
- Address
- 565 CYPRESS GARDENS BLVD
- City
- Winter Haven
- State
- Florida
- ZIP Code
- 33880-4406
- Phone
- (863) 656-4777
Authorized Official
- Name
- DR. KATIE L MCCANN LEE, DDS
- Title
- OWNER/GP
- Phone
- (863) 656-4777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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