| Freedom Dental Of Fort Myers Pa | |
|
14150 Metropolis Ave Ste 1 Fort Myers FL 33912-4345 | |
| (239) 561-9325 | |
| (239) 561-8327 |
| Full Name | Freedom Dental Of Fort Myers Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14150 Metropolis Ave Ste 1, Fort Myers, Florida |
| Authorized Official Name and Position | Joseph Charles Vanderbosch (PRESIDENT) |
| Authorized Official Contact | 2397769512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Dental Of Fort Myers Pa 14150 Metropolis Ave Ste 1 Fort Myers FL 33912-4345 Ph: () - | Freedom Dental Of Fort Myers Pa 14150 Metropolis Ave Ste 1 Fort Myers FL 33912-4345 Ph: (239) 561-9325 |
| NPI Number | 1609471747 |
|---|---|
| Provider Enumeration Date | 12/04/2020 |
| Last Update Date | 03/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609471747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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