Herston Dental Services, Pl

NPI #1285843110 in Port Charlotte, Florida

Provider Information

NPI Number
1285843110
Entity Type
Organization
Organization Name
Herston Dental Services, Pl
Primary Specialty
Dentist - General Practice
Enumeration Date
May 21, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
4161 TAMIAMI TRL
Address 2
SUITE 803
State
Florida
ZIP Code
33952-9204
Phone
(941) 255-3700

Authorized Official

Name
DR. MELODY LYNN HERSTON, D.M.D.
Title
PRESIDENT
Phone
(941) 255-3700

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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