Organization
FRIENDLY DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN MAMO (OFFICE MANAGER)
(239) 529-4159
Entity
Organization
Contact information
Practice address
23100 VIA VILLAGIO, ESTERO, FL 33928-8301
(239) 529-4159
Mailing address
16520 S TAMIAMI TRL STE 106, FORT MYERS, FL 33908-5319
(239) 529-4159
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
12/13/2021
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