| Brandon Smiles | |
|
926 Lumsden Rd. Brandon FL 33511 | |
| (813) 438-8728 | |
| (813) 438-8730 |
| Full Name | Brandon Smiles |
|---|---|
| Speciality | Dentist |
| Location | 926 Lumsden Rd., Brandon, Florida |
| Authorized Official Name and Position | Vincent A. Delle-donne (OWNER) |
| Authorized Official Contact | 8134388728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Smiles 926 Lumsden Rd. Brandon FL 33511 Ph: (813) 438-8728 | Brandon Smiles 926 Lumsden Rd. Brandon FL 33511 Ph: (813) 438-8728 |
| NPI Number | 1013278423 |
|---|---|
| Provider Enumeration Date | 06/01/2012 |
| Last Update Date | 06/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013278423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN17083 (Florida) | Primary |
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