Whalio Doctors

NPI 1043704786

Alberto Lopez de Castro Bolufer

Practitioner General Practice Dentistry Port Charlotte, FL

Practice location

Address
21202 Olean Blvd Fl 33952, Port Charlotte, FL 33952-6751
Phone
(941) 629-3200
Mailing address
3438 N Salford Blvd, North Port, FL 34286-7439

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence DN23495 (FL)

Registry record

NPI
1043704786
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Jun 2018
Record last updated
10 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.