| Dradak Enterprises | |
|
401 S Parsons Ave Ste A Brandon FL 33511-5241 | |
| (813) 880-0100 | |
| Not Available |
| Full Name | Dradak Enterprises |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 401 S Parsons Ave Ste A, Brandon, Florida |
| Authorized Official Name and Position | Andrew Dietrich (PRESIDENT) |
| Authorized Official Contact | 8633980013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dradak Enterprises 330 E Highland Dr Lakeland FL 33813-1727 Ph: (863) 398-0013 | Dradak Enterprises 401 S Parsons Ave Ste A Brandon FL 33511-5241 Ph: (813) 880-0100 |
| NPI Number | 1801672050 |
|---|---|
| Provider Enumeration Date | 09/05/2023 |
| Last Update Date | 09/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801672050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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