Charlotte Family Dentistry LLC
NPI #1639622988 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1639622988
- Entity Type
- Organization
- Organization Name
- Charlotte Family Dentistry LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 3, 2016
- Last Updated
- Aug 3, 2016
Practice Location
- Address
- 18000 TOLEDO BLADE BLVD
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33948-1980
- Phone
- (941) 624-4000
Authorized Official
- Name
- DR. DEAN J MOURSELAS, DDS
- Title
- MANAGING MEMBER
- Phone
- (941) 624-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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