Brandon Advanced Dental Care PA

NPI #1619001484 in Brandon, Florida

Provider Information

NPI Number: 1619001484
Entity Type: Organization
Organization Name: Brandon Advanced Dental Care PA
Primary Specialty: Dentist
Enumeration Date: Mar 15, 2007
Last Updated: Jul 25, 2011

Practice Location

Address: 625 MEDICAL CARE DR
City: Brandon
State: Florida
ZIP Code: 33511-5942
Phone: (813) 662-3599

Authorized Official

Name: MIKE COLE
Title: INSURANCE DIRECTOR
Phone: (727) 726-1611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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