Brandon Oral Surgery and Specialty Center Pllc

NPI #1396597860 in Brandon, Florida

Provider Information

NPI Number: 1396597860
Entity Type: Organization
Organization Name: Brandon Oral Surgery and Specialty Center Pllc
Primary Specialty: Dentist
Enumeration Date: Apr 5, 2024
Last Updated: Apr 5, 2024

Practice Location

Address: 123 N OAKWOOD AVE UNIT C
City: Brandon
State: Florida
ZIP Code: 33510-4629
Phone: (813) 708-7430

Authorized Official

Name: MIKE COLE
Title: SVP INSURANCE PLAN MANAGEMENT
Phone: (727) 424-2990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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