| Panther Hollow Family Dental Pa | |
|
19240 Quesada Ave Port Charlotte FL 33948-3126 | |
| (941) 743-7435 | |
| Not Available |
| Full Name | Panther Hollow Family Dental Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19240 Quesada Ave, Port Charlotte, Florida |
| Authorized Official Name and Position | Ashley Nicole Younkman-reynolds (OWNER/DENTIST) |
| Authorized Official Contact | 9416611044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Panther Hollow Family Dental Pa 19240 Quesada Ave Port Charlotte FL 33948-3126 Ph: (941) 661-1044 | Panther Hollow Family Dental Pa 19240 Quesada Ave Port Charlotte FL 33948-3126 Ph: (941) 743-7435 |
| NPI Number | 1104491877 |
|---|---|
| Provider Enumeration Date | 05/25/2021 |
| Last Update Date | 05/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104491877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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