| Bruce Waterman Dmd, Sleep Ez,pl | |
|
127 Kingsway Rd Brandon FL 33510-4601 | |
| (813) 689-8462 | |
| (813) 684-5665 |
| Full Name | Bruce Waterman Dmd, Sleep Ez,pl |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 127 Kingsway Rd, Brandon, Florida |
| Authorized Official Name and Position | Bruce Donald Waterman (PRESIDENT) |
| Authorized Official Contact | 8136898462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Waterman Dmd, Sleep Ez,pl 127 Kingsway Rd Brandon FL 33510-4601 Ph: (813) 689-8462 | Bruce Waterman Dmd, Sleep Ez,pl 127 Kingsway Rd Brandon FL 33510-4601 Ph: (813) 689-8462 |
| NPI Number | 1902220320 |
|---|---|
| Provider Enumeration Date | 02/05/2014 |
| Last Update Date | 06/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902220320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN9391 (Florida) | Primary |
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