Organization
YOUR DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER ANDREW WIDMER D.D.S. (MANAGER)
(239) 262-2677
Entity
Organization
Contact information
Practice address
4959 CASTELLO DR, NAPLES, FL 34103-8927
(239) 262-2677
(239) 261-2670
Mailing address
4959 CASTELLO DR, NAPLES, FL 34103-8927
(239) 262-2677
(239) 261-2670
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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