| Brandon Modern Dentistry | |
|
971 E. Bloomingdale Avenue Brandon FL 33511 | |
| (813) 435-3867 | |
| (813) 465-7538 |
| Full Name | Brandon Modern Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 971 E. Bloomingdale Avenue, Brandon, Florida |
| Authorized Official Name and Position | Minh B Pham (OWNER) |
| Authorized Official Contact | 8134353867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Modern Dentistry Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Brandon Modern Dentistry 971 E. Bloomingdale Avenue Brandon FL 33511 Ph: (813) 435-3867 |
| NPI Number | 1831744655 |
|---|---|
| Provider Enumeration Date | 08/08/2019 |
| Last Update Date | 08/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831744655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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