DR. Sam Ayad Issa, BDS, HDD

NPI #1720577505 in Brandon, Florida

Provider Information

NPI Number: 1720577505
Entity Type: Individual
Name: DR. Sam Ayad Issa, BDS, HDD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: BDS, HDD
Enumeration Date: May 7, 2018
Last Updated: Oct 11, 2022

Practice Location

Address: 410 W BLOOMINGDALE AVE
City: Brandon
State: Florida
ZIP Code: 33511-7402
Phone: (813) 654-0037

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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