Ideal Dental of Brandon Pllc

NPI #1033785597 in Brandon, Florida

Provider Information

NPI Number: 1033785597
Entity Type: Organization
Organization Name: Ideal Dental of Brandon Pllc
Primary Specialty: Dentist
Enumeration Date: Jun 3, 2021
Last Updated: May 19, 2023

Practice Location

Address: 1564 W BRANDON BLVD
City: Brandon
State: Florida
ZIP Code: 33511
Phone: (813) 849-0002

Authorized Official

Name: MATTHEW DOAN, DDS
Title: OWNER
Phone: (972) 331-8079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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