Organization
DENTAL ASSOC OF SOUTH BRANDON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL B BARRON (INSURANCE SUPERVISOR)
(813) 684-6279
Entity
Organization
Contact information
Practice address
611 E BLOOMINGDALE AVE, SUITE C, BRANDON, FL 33511-8127
(813) 684-6279
(813) 684-2189
Mailing address
611 E BLOOMINGDALE AVE, SUITE C, BRANDON, FL 33511-8127
(813) 684-6279
(813) 684-2189
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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