Harborside Dental Assoc Pca

NPI #1891740700 in Punta Gorda, Florida

Provider Information

NPI Number
1891740700
Entity Type
Organization
Organization Name
Harborside Dental Assoc Pca
Primary Specialty
Dentist - General Practice
Enumeration Date
May 23, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
522 E MARION AVE
Address 2
3RD FLOOR
State
Florida
ZIP Code
33950
Phone
(941) 575-9200

Authorized Official

Name
MICHELLE WALBERT MOENNING, DDS
Title
DENTIST
Phone
(941) 575-9200

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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