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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRANDON MALL DENTAL P.A.

Active Organization

BRANDON MALL DENTAL P.A. is a Dentist organization located in BRANDON, Florida. NPI 1922419597 is currently active in the NPPES registry. Verify at CMS.

Dentist · BRANDON, FL

Registration Details

NPI Number
1922419597
Provider Type
Organization
NPI Issued
May 16, 2014 (12.268763652155 yrs)
Last Updated
May 16, 2014
License
DN16377 (FL)

Practice Information

Address
675 BRANDON TOWN CENTER MALL
BRANDON, FL, 335114770
Browse FL providers · Browse ZIP 33511
Phone
9548467171
Primary Specialty
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.