| Modern Family Dentistry | |
|
1815 Se Us Highway 19 Crystal River FL 34429-9065 | |
| (352) 795-1223 | |
| (352) 453-5547 |
| Full Name | Modern Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1815 Se Us Highway 19, Crystal River, Florida |
| Authorized Official Name and Position | Michael S Masterson (OWNER) |
| Authorized Official Contact | 3527951223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Family Dentistry 1815 Se Us Highway 19 Crystal River FL 34429-9065 Ph: (352) 795-1223 | Modern Family Dentistry 1815 Se Us Highway 19 Crystal River FL 34429-9065 Ph: (352) 795-1223 |
| NPI Number | 1427747880 |
|---|---|
| Provider Enumeration Date | 05/02/2023 |
| Last Update Date | 05/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427747880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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