Fishhawk Modern Dentistry, PA

NPI #1730726506 in Lithia, Florida

Provider Information

NPI Number: 1730726506
Entity Type: Organization
Organization Name: Fishhawk Modern Dentistry, PA
Primary Specialty: Dentist
Enumeration Date: Nov 29, 2019
Last Updated: Aug 25, 2022

Practice Location

Address: 16509 FISHHAWK BLVD
City: Lithia
State: Florida
ZIP Code: 33547-3835
Phone: (813) 563-8108

Authorized Official

Name: DR. KATIE L MCCANN LEE, DDS
Title: OWNER/GP
Phone: (813) 563-8108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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