Organization
DENTISTS OF FORT MYERS PA
Active
Other names
DENTISTS OF FORT MYERS
Organization subpart
No
Provider details
NPI number
Authorized official
MINH B PHAM DDS (OWNER)
(239) 236-2103
Entity
Organization
Contact information
Practice address
5037 S CLEVELAND AVE STE 102, FORT MYERS, FL 33907-1377
(239) 236-2103
(239) 271-2073
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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