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Individual

BRANDON COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
3806 W LINEBAUGH AVE, TAMPA, FL 33618-8702
(941) 587-3432
Mailing address
3721 COUNTRYSIDE RD, SARASOTA, FL 34233-2125

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22234
FL

Other

Enumeration date
08/12/2016
Last updated
08/12/2016
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