Brandau Family Dentistry | |
2762 Tamiami Trl Suite B Port Charlotte FL 33952-5128 | |
(941) 629-4804 | |
(941) 629-7702 |
Full Name | Brandau Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 2762 Tamiami Trl, Port Charlotte, Florida |
Authorized Official Name and Position | Gregory James Brandau (DENTIST) |
Authorized Official Contact | 3302651004 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brandau Family Dentistry 2762 Tamiami Trl Suite B Port Charlotte FL 33952-5128 Ph: (941) 629-4804 | Brandau Family Dentistry 2762 Tamiami Trl Suite B Port Charlotte FL 33952-5128 Ph: (941) 629-4804 |
NPI Number | 1679004188 |
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Provider Enumeration Date | 03/26/2017 |
Last Update Date | 03/26/2017 |
Identifier | Type | State | Issuer |
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1679004188 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN-21627 (Florida) | Primary |
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