IndividualActive
Alberto Lopez De Castro Bolufer
NPI 1043704786 · General Practice Dentistry · Port Charlotte, FL
Provider details
- NPI number
- 1043704786
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- DN23495 (FL)
Specialties & taxonomies
Dental Providers
Practice location
21202 Olean Blvd Fl 33952
Port Charlotte, FL 33952-6751
Phone: (941) 629-3200
Approximate (ZIP-level) locationGet directions
Mailing address
3438 N Salford Blvd
North Port, FL 34286-7439
Registry dates
- Enumerated
- 2018-06-16
- Last updated
- 2021-12-10
- Certified
- 2021-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.