Individual
DR. ALBERTO LOPEZ DE CASTRO BOLUFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21202 OLEAN BLVD FL 33952, PORT CHARLOTTE, FL 33952-6751
(941) 629-3200
Mailing address
3438 N SALFORD BLVD, NORTH PORT, FL 34286-7439
(786) 718-5655
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN23495
FL
Other
Enumeration date
06/16/2018
Last updated
12/10/2021
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