Individual
DR. ANTHONY RICHARD MENENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MAGD
Contact information
Practice address
4120 TAMIAMI TRAIL SUITE A, SUITE A, PORT CHARLOTTE, FL 33952-9200
(941) 624-4575
Mailing address
4120 TAMIAMI TRL, SUITE A, PORT CHARLOTTE, FL 33952-9200
(941) 624-4575
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10575
FL
Other
Enumeration date
05/10/2007
Last updated
09/24/2019
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