Organization
BANDEIRA DENTAL LLC
Active
Other names
Sunset Point Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE LUIZ BANDEIRA DMD (PRESIDENT)
(312) 952-2193
Entity
Organization
Contact information
Practice address
2376 SUNSET POINT RD, CLEARWATER, FL 33765-1423
(727) 953-3368
Mailing address
913 WYNGATE CT, SAFETY HARBOR, FL 34695-5650
(312) 952-2193
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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