Lake Mary Modern Dentistry, Pa Dental Clinic

Get detailed information about Lake Mary Modern Dentistry, Pa dental clinic in Irvine California.
Lake Mary Modern Dentistry, Pa (LAKE MARY MODERN DENTISTRY, PA) is a Dental Clinic in Lake Mary, Florida. Dental care clinics provide dental treatment and oral care to patients of all ages. The NPI Number for Lake Mary Modern Dentistry, Pa is 1053849646.

The current location address for Lake Mary Modern Dentistry, Pa is 3779 Lake Emma Road, , Lake Mary, Florida and the contact number is 407-547-1359 and fax number is --. The mailing address for Lake Mary Modern Dentistry, Pa is 17000 Red Hill Ave, , Irvine, California - 92614-5626 (mailing address contact number - --).


Provider Profile Details:
Clinic NameLake Mary Modern Dentistry, Pa
Provider OrganizationLAKE MARY MODERN DENTISTRY, PA
Address3779 Lake Emma Road, ,
Lake Mary
Florida, 32746
Phone Number407-547-1359
Fax Number--
Authorized Official NameKatie L. Mccann
Authorized Official Title/PositionDds/owner
Authorized Official Contact Number407-547-1359
NPI Number Details:
NPI Number1053849646
Provider Enumeration Date05/26/2017
Last Update Date04/04/2021
Provider Business Mailing Address Details:
Address17000 Red Hill Ave,
CityIrvine
StateCalifornia
Zip92614-5626
Phone Number--
Fax Number--
Provider's Primary Taxonomy Details:
TypeDental Providers
SpecialityDentist
Taxonomy122300000X

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