Brandon Modern Dentistry, PA

NPI #1831744655 in Brandon, Florida

Provider Information

NPI Number: 1831744655
Entity Type: Organization
Organization Name: Brandon Modern Dentistry, PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 8, 2019
Last Updated: Aug 25, 2022

Practice Location

Address: 971 E. BLOOMINGDALE AVENUE
City: Brandon
State: Florida
ZIP Code: 33511
Phone: (813) 435-3867

Authorized Official

Name: MINH B PHAM, DDS
Title: OWNER
Phone: (813) 435-3867

Specialties & Taxonomy Codes

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

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