Organization
FRENCH QUARTER FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN JASON MOURSELAS DDS (MANAGING MEMBER)
(239) 530-4000
Entity
Organization
Contact information
Practice address
501 GOODLETTE RD N, SUITE B 202, NAPLES, FL 34102-5661
(239) 530-4000
(239) 530-4025
Mailing address
501 GOODLETTE RD N, SUITE B 202, NAPLES, FL 34102-5661
(239) 530-4000
(239) 530-4025
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN16793
FL
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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