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Organization
PORT CHARLOTTE DENTAL CARE INC
Active
Organization
PORT CHARLOTTE DENTAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH HALIM FARAG DMD (CEO)
(941) 764-9555
Entity
Organization
Contact information
Practice address
3441 CONWAY BLVD, PORT CHARLOTTE, FL 33952-7002
(941) 764-9555
(941) 764-9277
Mailing address
3441 CONWAY BLVD, PORT CHARLOTTE, FL 33952-7002
(941) 764-9555
(941) 764-9277
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN16330
FL
Other
Enumeration date
08/05/2006
Last updated
08/22/2020
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