Individual
ANISABEL D LOPEZ DE CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21202 OLEAN BLVD, PORT CHARLOTTE, FL 33952-6751
(941) 629-3200
Mailing address
2588 TALLEYRAND AVE, NORTH PORT, FL 34286-9073
(786) 714-2136
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN28989
FL
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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