Organization
DENTAL DAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHADAN HAFSA DMD (DENTIST/OWNER)
(813) 775-8956
Entity
Organization
Contact information
Practice address
611 E BLOOMINGDALE AVE STE C, BRANDON, FL 33511-8127
(813) 820-0071
(813) 820-0072
Mailing address
611 E BLOOMINGDALE AVE STE C, BRANDON, FL 33511-8127
(813) 820-0071
(813) 820-0072
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
10/29/2020
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