| Charlotte Family Dentistry Llc | |
|
18000 Toledo Blade Blvd Port Charlotte FL 33948-1980 | |
| (941) 624-4000 | |
| (941) 624-2208 |
| Full Name | Charlotte Family Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18000 Toledo Blade Blvd, Port Charlotte, Florida |
| Authorized Official Name and Position | Dean J Mourselas (MANAGING MEMBER) |
| Authorized Official Contact | 9416244000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte Family Dentistry Llc 18000 Toledo Blade Blvd Port Charlotte FL 33948-1980 Ph: (941) 624-4000 | Charlotte Family Dentistry Llc 18000 Toledo Blade Blvd Port Charlotte FL 33948-1980 Ph: (941) 624-4000 |
| NPI Number | 1639622988 |
|---|---|
| Provider Enumeration Date | 08/03/2016 |
| Last Update Date | 08/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639622988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN16793 (Florida) | Primary |
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