DR. Brandon Lee Greenwalt, DMD
NPI #1194087742 in Gainesville, Florida
Provider Information
- NPI Number
- 1194087742
- Entity Type
- Individual
- Name
- DR. Brandon Lee Greenwalt, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Jun 11, 2012
- Last Updated
- Oct 29, 2013
Practice Location
- Address
- 410 NE WALDO RD
- City
- Gainesville
- State
- Florida
- ZIP Code
- 32641-5685
- Phone
- (352) 375-3790
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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