Brandon Smiles LLC

NPI #1538672787 in Brandon, Florida

Provider Information

NPI Number: 1538672787
Entity Type: Organization
Organization Name: Brandon Smiles LLC
Primary Specialty: Dentist
Enumeration Date: Nov 9, 2017
Last Updated: Nov 9, 2017

Practice Location

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

Authorized Official

Name: DR. ATHANASIOS KOKKAS, DDS
Title: MANAGER
Phone: (205) 999-9527

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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