Organization
LUMINA DENTALOF BRANDON, PA
Active
Other names
LUMINA DENTAL OF BRANDON
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA MILLER (INSURANCE COORDINATOR)
(321) 431-2208
Entity
Organization
Contact information
Practice address
225 BRANDON TOWN CENTER DR, BRANDON, FL 33511-4728
(813) 381-5858
Mailing address
225 BRANDON TOWN CENTER DR, BRANDON, FL 33511-4728
(813) 381-5858
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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