Organization
DENTISTS OF PORT CHARLOTTE, PA
Active
Other names
Dentists of Port Charlotte
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINH B PHAM DDS (OWNER)
(941) 584-8926
Entity
Organization
Contact information
Practice address
1720 TAMIAMI TRL STE 102, PORT CHARLOTTE, FL 33948-1121
(941) 584-8926
(941) 702-9407
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8500
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
10/15/2019
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