Individual
DR. ANDRE LUIZ BANDEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2707 TAMPA RD, PALM HARBOR, FL 34684-3312
(727) 785-6521
Mailing address
267 LAFAYETTE AVE, CHATHAM, NJ 07928-1619
(312) 952-2193
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22544
FL
Other
Enumeration date
05/26/2017
Last updated
05/26/2017
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