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Organization
RICHARDO S BOCANEGRA DDS PA
Active
Organization
RICHARDO S BOCANEGRA DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARDO S BOCANEGRA DDS (DENTIST)
(239) 482-8806
Entity
Organization
Contact information
Practice address
6805 PORTO FINO CIR, BLDG G, FORT MYERS, FL 33912-4390
(239) 482-8805
Mailing address
6805 PORTO FINO CIR, BLDG G, FORT MYERS, FL 33912-4390
(239) 482-8805
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13517
FL
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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