Provider Demographics
NPI:1184653347
Name:ARGUMOSA, MIGUEL ANGEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:MIGUEL
Middle Name:ANGEL
Last Name:ARGUMOSA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12641 STRATHMORE LOOP
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33912-4693
Mailing Address - Country:US
Mailing Address - Phone:757-819-3660
Mailing Address - Fax:
Practice Address - Street 1:9510 BONITA BEACH RD SE
Practice Address - Street 2:SUITE 101
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-4699
Practice Address - Country:US
Practice Address - Phone:239-333-2990
Practice Address - Fax:239-333-2988
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN159211223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry