Organization
BLUE PARK DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN BROWN DDS (DENTIST)
(407) 455-3486
Entity
Organization
Contact information
Practice address
5470 POST OAK BLVD UNIT 1, WESLEY CHAPEL, FL 33544
(407) 455-3486
Mailing address
3182 FRESNO PL, ZEPHYRHILLS, FL 33541-2935
(407) 455-3486
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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