Samanta Andisco, D.M.D

NPI 1326298753 · on the registry since 2008

Practice

Address: 19240 Quesada Ave
Port Charlotte, FL 33948
Phone: (941) 743-7435
Fax: (941) 743-7429
Organisation at this address: Panther Hollow Family Dental Pa
Panther Hollow Dental Lodge, Pl
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida