PEDIATRIC DENTISTRY OF BRANDON PA NPI 1467894980

NPI Information

PEDIATRIC DENTISTRY OF BRANDON PA is a pediatric dentistry dentist in Brandon, FL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PEDIATRIC DENTISTRY OF BRANDON PA NPI is 1467894980. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

517 CORNER DR
BRANDON, FL
ZIP 33511-718
Phone: (787) 398-7143
Fax: (813) 681-7213

The provider's authorized official is Kerry J Torres .
The authorized official title is Practice Manager and has the following contact phone number (787) 398-7143.

The enumeration date for this NPI number is 7/25/2013 and was last updated on 7/25/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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