Organization
CAPE HAZE DENTAL P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY J BRANDAU D.D.S. (PTSD)
(941) 828-2684
Entity
Organization
Contact information
Practice address
8501 PLACIDA RD, SUITE A1, PLACIDA, FL 33946-2427
(941) 828-2684
(941) 828-2685
Mailing address
8501 PLACIDA RD, SUITE A1, PLACIDA, FL 33946-2427
(941) 828-2684
(941) 828-2685
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN21627
FL
Other
Enumeration date
04/23/2017
Last updated
04/23/2017
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