| NPI | 1477278323 |
|---|---|
| Doing Business As | FAMILY DENTISTRY OF PORT CHARLOTTE |
| Entity Type | Organization |
| Authorized Contact | ROBERT L DEMINT Credentialing Coordinator 813-692-2224 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-10-04 |