# INTL. DENTAL GROUP OF FLORIDA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Dental Spa of Brandon
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649658527
- **Authorized official:** DR. ELIZABETH PEREZ DMD (DOCTOR, DMD/PRESIDENT)
- **Authorized official phone:** (813) 661-1600

## Contact information

- **Practice address:** 520 OAKFIELD DR, BRANDON, FL 33511-5743
- **Practice address phone:** (813) 661-1600
- **Practice address fax:** (813) 661-1615
- **Mailing address:** 520 OAKFIELD DR, BRANDON, FL 33511-5743
- **Mailing address phone:** (813) 661-1600
- **Mailing address fax:** (813) 661-1615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DN15530 | FL | Yes |

## Other

- **Enumeration date:** 05/12/2015
- **Last updated:** 09/28/2015