| Panther Hollow Dental Lodge, Pl | |
|
19240 Quesada Ave Port Charlotte FL 33948-3126 | |
| (941) 743-7435 | |
| (941) 743-7429 |
| Full Name | Panther Hollow Dental Lodge, Pl |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19240 Quesada Ave, Port Charlotte, Florida |
| Authorized Official Name and Position | Joseph C Bender (OWNER) |
| Authorized Official Contact | 9417437435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Panther Hollow Dental Lodge, Pl 19240 Quesada Ave Port Charlotte FL 33948-3126 Ph: (941) 743-7435 | Panther Hollow Dental Lodge, Pl 19240 Quesada Ave Port Charlotte FL 33948-3126 Ph: (941) 743-7435 |
| NPI Number | 1265671887 |
|---|---|
| Provider Enumeration Date | 02/05/2009 |
| Last Update Date | 07/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265671887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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