Gregory J. Brandau D.d.s., Pllc
NPI #1679004188 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1679004188
- Entity Type
- Organization
- Organization Name
- Gregory J. Brandau D.d.s., Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 26, 2017
- Last Updated
- Mar 26, 2017
Practice Location
- Address
- 2762 TAMIAMI TRL
- Address 2
- SUITE B
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33952-5128
- Phone
- (941) 629-4804
Authorized Official
- Name
- DR. GREGORY JAMES BRANDAU, D.D.S.
- Title
- DENTIST
- Phone
- (330) 265-1004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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