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Organization

GREGORY J. BRANDAU D.D.S., PLLC

Active
Other names
Brandau Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY JAMES BRANDAU D.D.S. (DENTIST)
(330) 265-1004
Entity
Organization

Contact information

Practice address
2762 TAMIAMI TRL, SUITE B, PORT CHARLOTTE, FL 33952-5128
(941) 629-4804
(941) 629-7702
Mailing address
2762 TAMIAMI TRL, SUITE B, PORT CHARLOTTE, FL 33952-5128
(941) 629-4804
(941) 629-7702

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN-21627
FL

Other

Enumeration date
03/26/2017
Last updated
03/26/2017
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