Harborside Dental Assoc Pca | |
522 E Marion Ave 3rd Floor Punta Gorda FL 33950 | |
(941) 575-9200 | |
Not Available |
Full Name | Harborside Dental Assoc Pca |
---|---|
Speciality | Dentist - General Practice |
Location | 522 E Marion Ave, Punta Gorda, Florida |
Authorized Official Name and Position | Michelle Walbert Moenning (DENTIST) |
Authorized Official Contact | 9415759200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Harborside Dental Assoc Pca 522 E Marion Ave Punta Gorda FL 33950 Ph: (941) 575-9200 | Harborside Dental Assoc Pca 522 E Marion Ave 3rd Floor Punta Gorda FL 33950 Ph: (941) 575-9200 |
NPI Number | 1891740700 |
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Provider Enumeration Date | 05/23/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891740700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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