| NPI | 1134654064 |
|---|---|
| Doing Business As | WEST PINES MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KATIE MCCANN Owner 786-204-0713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |