Individual
DR. GREGORY JAMES BRANDAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
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
30-024328
OH
1223G0001X
General Practice Dentistry
DN-21627
FL
Other
Enumeration date
10/01/2014
Last updated
03/26/2017
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