| Richardo S Bocanegra Dds Pa | |
|
6805 Porto Fino Cir Bldg G Fort Myers FL 33912-4390 | |
| (239) 482-8805 | |
| Not Available |
| Full Name | Richardo S Bocanegra Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 6805 Porto Fino Cir, Fort Myers, Florida |
| Authorized Official Name and Position | Richardo S Bocanegra (DENTIST) |
| Authorized Official Contact | 2394828806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richardo S Bocanegra Dds Pa 6805 Porto Fino Cir Bldg G Fort Myers FL 33912-4390 Ph: (239) 482-8805 | Richardo S Bocanegra Dds Pa 6805 Porto Fino Cir Bldg G Fort Myers FL 33912-4390 Ph: (239) 482-8805 |
| NPI Number | 1053404939 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053404939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN13517 (Florida) | Primary |
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