Organization
PEDIATRIC DENTISTRY OF BRANDON PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KERRY J TORRES (PRACTICE MANAGER)
(787) 398-7143
Entity
Organization
Contact information
Practice address
517 CORNER DR, BRANDON, FL 33511-5718
(787) 398-7143
(813) 681-7213
Mailing address
517 CORNER DR, BRANDON, FL 33511-5718
(787) 398-7143
(813) 681-7213
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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