Brandon Oral Surgery And Specialty Center Pllc | |
123 N Oakwood Ave Unit C Brandon FL 33510-4629 | |
(813) 708-7430 | |
Not Available |
Full Name | Brandon Oral Surgery And Specialty Center Pllc |
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Speciality | Dentist |
Location | 123 N Oakwood Ave Unit C, Brandon, Florida |
Authorized Official Name and Position | Mike Cole (SVP INSURANCE PLAN MANAGEMENT) |
Authorized Official Contact | 7274242990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brandon Oral Surgery And Specialty Center Pllc 123 N Oakwood Ave Unit C Brandon FL 33510-4629 Ph: (813) 708-7430 | Brandon Oral Surgery And Specialty Center Pllc 123 N Oakwood Ave Unit C Brandon FL 33510-4629 Ph: (813) 708-7430 |
NPI Number | 1396597860 |
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Provider Enumeration Date | 04/05/2024 |
Last Update Date | 04/05/2024 |
Identifier | Type | State | Issuer |
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1396597860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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