Panther Hollow Dental Lodge, Pl
NPI #1265671887 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1265671887
- Entity Type
- Organization
- Organization Name
- Panther Hollow Dental Lodge, Pl
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 5, 2009
- Last Updated
- Jul 9, 2015
Practice Location
- Address
- 19240 QUESADA AVE
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33948-3126
- Phone
- (941) 743-7435
Authorized Official
- Name
- DR. JOSEPH C BENDER, DMD
- Title
- OWNER
- Phone
- (941) 743-7435
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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