Organization
FAMILY DENTISTRY OF PORT CHARLOTTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN J KRAUSE (OWNER)
(863) 773-9344
Entity
Organization
Contact information
Practice address
2300 TAMIAMI TRL # 13&14, PORT CHARLOTTE, FL 33952-3900
(941) 209-5353
(941) 866-6838
Mailing address
2300 TAMIAMI TRL # 13&14, PORT CHARLOTTE, FL 33952-3900
(941) 209-5959
(941) 866-6838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN18310
FL
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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