Cordica Dental Designs | |
220 W Brandon Blvd Ste 106 Brandon FL 33511-5104 | |
(813) 661-1800 | |
(813) 661-1300 |
Full Name | Cordica Dental Designs |
---|---|
Speciality | Dentist |
Location | 220 W Brandon Blvd, Brandon, Florida |
Authorized Official Name and Position | Elizabeth Perez (DOCTOR, DMD/PRESIDENT) |
Authorized Official Contact | 8134222599 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cordica Dental Designs 220 W Brandon Blvd Ste 106 Brandon FL 33511-5104 Ph: (813) 661-1800 | Cordica Dental Designs 220 W Brandon Blvd Ste 106 Brandon FL 33511-5104 Ph: (813) 661-1800 |
NPI Number | 1477944742 |
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Provider Enumeration Date | 02/09/2015 |
Last Update Date | 09/28/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477944742 | NPI | - | NPPES |
014265500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN15530 (Florida) | Primary |
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