Individual
LEANET ASCUNCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
PEDIATRIC DENTISTRY OF FORT MYERS, 8016 SUMMERLIN LAKES DR, FORT MYERS, FL 33907
(239) 482-2722
Mailing address
3942 CHERRYBROOK LOOP, FORT MYERS, FL 33966-7002
(305) 951-9732
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN18365
FL
1223P0221X
Pediatric Dentistry
Primary
DN18365
FL
Other
Enumeration date
10/23/2008
Last updated
08/03/2015
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