| Innovative Dental Solution Of Brandon,llc | |
|
926 W Lumsden Rd Brandon FL 33511-6281 | |
| (813) 438-8728 | |
| (813) 438-8730 |
| Full Name | Innovative Dental Solution Of Brandon,llc |
|---|---|
| Speciality | Dentist |
| Location | 926 W Lumsden Rd, Brandon, Florida |
| Authorized Official Name and Position | Sylvia L Miller (INSURANCE SPECIALIST) |
| Authorized Official Contact | 3214312208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Dental Solution Of Brandon,llc 926 W Lumsden Rd Brandon FL 33511-6281 Ph: (813) 438-8728 | Innovative Dental Solution Of Brandon,llc 926 W Lumsden Rd Brandon FL 33511-6281 Ph: (813) 438-8728 |
| NPI Number | 1376087742 |
|---|---|
| Provider Enumeration Date | 12/05/2016 |
| Last Update Date | 12/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376087742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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