Innovative Dental Solution of Brandon,llc

NPI #1376087742 in Brandon, Florida

Provider Information

NPI Number: 1376087742
Entity Type: Organization
Organization Name: Innovative Dental Solution of Brandon,llc
Primary Specialty: Dentist
Enumeration Date: Dec 5, 2016
Last Updated: Dec 5, 2016

Practice Location

Address: 926 W LUMSDEN RD
City: Brandon
State: Florida
ZIP Code: 33511-6281
Phone: (813) 438-8728

Authorized Official

Name: SYLVIA L MILLER
Title: INSURANCE SPECIALIST
Phone: (321) 431-2208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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