Individual
BRANDON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9200 113TH ST, SEMINOLE, FL 33772-2800
(727) 893-5050
Mailing address
1107 ROSERY RD NW APT 4302, LARGO, FL 33770-1265
(904) 441-9334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2919
FL
1223G0001X
General Practice Dentistry
DN30832
FL
Other
Enumeration date
07/01/2025
Last updated
07/24/2025
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