Brant Wade, DMD

NPI #1063529261 in Brandon, Florida

Provider Information

NPI Number: 1063529261
Entity Type: Individual
Name: Brant Wade, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Aug 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1457 OAKFIELD DRIVE
City: Brandon
State: Florida
ZIP Code: 33511
Phone: (813) 662-9233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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