Pediatric Dentistry Of Port Charlotte

NPI 1235561515 - Dentist - 1223P0221X

NPI Details
NPI 1235561515
Enumeration Date 08/08/2013
Last Updated 08/08/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MIGUEL MIGUEL
Position PEDIATRIC DENTIST/MEMBER
Phone (941) 391-8090
Fax
Practice Location
3872 TAMIAMI TRL
UNITS D AND E
PORT CHARLOTTE FL, 33952-8463, US
Phone (941) 391-8090
Fax
Business Location
3872 TAMIAMI TRL
UNITS D AND E
PORT CHARLOTTE FL, 33952-8463, US
Phone (941) 391-8090
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State
License Number
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According to our database, Pediatric Dentistry Of Port Charlotte NPI is 1235561515, taxonomy code is 1223P0221X Pediatric Dentistry Of Port Charlotte physically located at 3872 Tamiami Trl, Port Charlotte FL, 33952-8463. NPI Number 1033115704 has the healthcare provider type.

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1235561515 NPI number is provided on an as is basis without warranty of any kind. 1235561515 is maintained by the National Plan & Provider Enumeration System. The contents of Pediatric Dentistry Of Port Charlotte are for informational purposes only.