Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vallo Ft Myers PLLC the Dental Boutique Fort Myers

Organization Dental Clinic/Center · NPI 1649060021

Vallo Ft Myers PLLC the Dental Boutique Fort Myers is a Dental Clinic/Center in Fort Myers, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5100 S Cleveland Ave Fl 33907
Fort Myers, FL 33907-2189
Phone: (239) 327-0862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1649060021
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manuel Cobos — Operations Officer · (773) 398-5423
Other names The Dental Boutique Fort Myers
NPI enumeratedMay 8, 2025
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025
Mailing address5100 S Cleveland Ave Fl 33907, Fort Myers, FL 33907-2189

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