| NPI | 1013558154 |
|---|---|
| Doing Business As | DENTISTS OF PORT CHARLOTTE |
| Entity Type | Organization |
| Authorized Contact | MINH B PHAM Owner 941-584-8926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-10-15 |