Organization
INNOVATIVE DENTAL SOLUTION OF BRANDON,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA L MILLER (INSURANCE SPECIALIST)
(321) 431-2208
Entity
Organization
Contact information
Practice address
926 W LUMSDEN RD, BRANDON, FL 33511-6281
(813) 438-8728
(813) 438-8730
Mailing address
926 W LUMSDEN RD, BRANDON, FL 33511-6281
(813) 438-8728
(813) 438-8730
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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