Organization
DENTAL CHOICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND DUSTIN DIXON (OWNER)
(941) 708-6504
Entity
Organization
Contact information
Practice address
9954 INTERSTATE COMMERCE DR STE 110, FORT MYERS, FL 33913-9782
(315) 454-6000
Mailing address
7012 HAWKS HARBOR CIR, BRADENTON, FL 34207-5860
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/13/2023
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