| Cape Haze Dental P.a. | |
|
8501 Placida Rd Suite A1 Placida FL 33946-2427 | |
| (941) 828-2684 | |
| (941) 828-2685 |
| Full Name | Cape Haze Dental P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8501 Placida Rd, Placida, Florida |
| Authorized Official Name and Position | Gregory J Brandau (PTSD) |
| Authorized Official Contact | 9418282684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cape Haze Dental P.a. 8501 Placida Rd Suite A1 Placida FL 33946-2427 Ph: (941) 828-2684 | Cape Haze Dental P.a. 8501 Placida Rd Suite A1 Placida FL 33946-2427 Ph: (941) 828-2684 |
| NPI Number | 1528593936 |
|---|---|
| Provider Enumeration Date | 04/23/2017 |
| Last Update Date | 04/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528593936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN21627 (Florida) | Primary |