| Your Dental LLC | |
|
4959 Castello Dr Naples FL 34103-8927 | |
| (239) 262-2677 | |
| (239) 261-2670 |
| Full Name | Your Dental LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4959 Castello Dr, Naples, Florida |
| Authorized Official Name and Position | Christopher Andrew Widmer (MANAGER) |
| Authorized Official Contact | 2392622677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Dental LLC 4959 Castello Dr Naples FL 34103-8927 Ph: (239) 262-2677 | Your Dental LLC 4959 Castello Dr Naples FL 34103-8927 Ph: (239) 262-2677 |
| NPI Number | 1043861776 |
|---|---|
| Provider Enumeration Date | 09/24/2019 |
| Last Update Date | 09/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043861776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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