Individual
DR. DMITRY BARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
721 W ROBERTSON ST STE 107B, BRANDON, FL 33511-4900
(813) 654-4545
Mailing address
721 W ROBERTSON ST STE 107B, BRANDON, FL 33511-4900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
73994059921
UT
1223P0300X
Periodontics
7399405-9921
UT
1223P0300X
Periodontics
Primary
DN27569
FL
Other
Enumeration date
08/18/2009
Last updated
02/13/2025
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