Panther Hollow Family Dental PA
NPI #1104491877 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1104491877
- Entity Type
- Organization
- Organization Name
- Panther Hollow Family Dental PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 25, 2021
- Last Updated
- May 25, 2021
Practice Location
- Address
- 19240 QUESADA AVE
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33948-3126
- Phone
- (941) 743-7435
Authorized Official
- Name
- DR. ASHLEY NICOLE YOUNKMAN-REYNOLDS, DMD
- Title
- OWNER/DENTIST
- Phone
- (941) 661-1044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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