Organization
BRELL DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIRZAH ELLIOTT (OWNER)
(407) 670-0020
Entity
Organization
Contact information
Practice address
410 E ALTAMONTE DR STE 1040, ALTAMONTE SPRINGS, FL 32701-4657
(407) 670-0020
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
06/20/2023
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