Organization
BRUCE D. WATERMAN, DMD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE DONALD WATERMAN DMD (PRESIDENT)
(813) 689-8462
Entity
Organization
Contact information
Practice address
127 KINGSWAY RD, BRANDON, FL 33510-4601
(813) 689-8462
(813) 684-5665
Mailing address
127 KINGSWAY RD, BRANDON, FL 33510-4601
(813) 689-8462
(813) 684-5665
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN9391
FL
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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