DR. Brent John Waldman, D.D.S.

NPI #1295717775 in Gibsonton, Florida

Provider Information

NPI Number: 1295717775
Entity Type: Individual
Name: DR. Brent John Waldman, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Nov 18, 2005
Last Updated: Mar 5, 2025

Practice Location

Address: 13145 KINGS LAKE DR
City: Gibsonton
State: Florida
ZIP Code: 33534-3962
Phone: (843) 789-9738

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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