| Brandon Family Dental Care Llc | |
|
227 N Knights Ave Brandon FL 33510-4390 | |
| (813) 685-5610 | |
| (813) 689-5904 |
| Full Name | Brandon Family Dental Care Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 227 N Knights Ave, Brandon, Florida |
| Authorized Official Name and Position | Donna L Licause (OFFICE MANAGER) |
| Authorized Official Contact | 8136855611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Family Dental Care Llc 227 N Knights Ave Brandon FL 33510-4390 Ph: (813) 685-5610 | Brandon Family Dental Care Llc 227 N Knights Ave Brandon FL 33510-4390 Ph: (813) 685-5610 |
| NPI Number | 1679116412 |
|---|---|
| Provider Enumeration Date | 10/24/2019 |
| Last Update Date | 12/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679116412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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