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Individual

DR. ANDREW BLAKE BRATTAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
13022 RACE TRACK RD, STE 101, TAMPA, FL 33626-1302
(813) 814-1868
Mailing address
2450 DUNLIN DUNES PL, APT 302, TAMPA, FL 33619-0867
(305) 299-7455

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 22306
FL

Other

Enumeration date
10/17/2016
Last updated
10/17/2016
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