| NPI | 1699927525 |
|---|---|
| Other Name | NORTH PORT CHARLOTTE EMERGENCY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES THOMASINO Partner 941-743-6824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL dn16459) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |