Mariely Maritza Santos, DENTIST

NPI #1316581838 in Brandon, Florida

Provider Information

NPI Number: 1316581838
Entity Type: Individual
Name: Mariely Maritza Santos, DENTIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DENTIST
Enumeration Date: Oct 29, 2019
Last Updated: Dec 13, 2019

Practice Location

Address: 520 OAKFIELD DR
City: Brandon
State: Florida
ZIP Code: 33511-5743
Phone: (813) 812-9144

Specialties & Taxonomy Codes

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

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