Organization
HARBORSIDE DENTAL ASSOC PCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WALBERT MOENNING DDS (DENTIST)
(941) 575-9200
Entity
Organization
Contact information
Practice address
522 E MARION AVE, 3RD FLOOR, PUNTA GORDA, FL 33950
(941) 575-9200
Mailing address
522 E MARION AVE, PUNTA GORDA, FL 33950
(941) 575-9200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/23/2006
Last updated
08/22/2020
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