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Organization

BOHRER GROUP LLC

Active
Other names
Shore Lake Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRANDON BOHRER DMD (OWNER)
(585) 507-2684
Entity
Organization

Contact information

Practice address
1745 S HIGHLAND AVE # 6W, CLEARWATER, FL 33756-1852
(727) 586-1402
Mailing address
215 ORANGE ST, PALM HARBOR, FL 34683-5224

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
02/24/2022
Last updated
02/24/2022
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