| Cayo Costa Dental, Inc | |
|
316 W Helen Ave Punta Gorda FL 33950-5501 | |
| (941) 575-1446 | |
| (941) 637-1963 |
| Full Name | Cayo Costa Dental, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 316 W Helen Ave, Punta Gorda, Florida |
| Authorized Official Name and Position | Frederick Jay Fox (DENTIST) |
| Authorized Official Contact | 9415751446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cayo Costa Dental, Inc 316 W Helen Ave Punta Gorda FL 33950-5501 Ph: (941) 575-1446 | Cayo Costa Dental, Inc 316 W Helen Ave Punta Gorda FL 33950-5501 Ph: (941) 575-1446 |
| NPI Number | 1922464924 |
|---|---|
| Provider Enumeration Date | 01/06/2016 |
| Last Update Date | 01/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922464924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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