BRANDON MODERN DENTISTRY PA NPI 1831744655

NPI Information

BRANDON MODERN DENTISTRY, PA is a general practice dentist in Brandon, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BRANDON MODERN DENTISTRY, PA NPI is 1831744655. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

971 E. BLOOMINGDALE AVENUE
BRANDON, FL
ZIP 33511
Phone: (813) 435-3867
Fax: (813) 465-7538

The provider's authorized official is Minh B Pham .
The authorized official title is Owner and has the following contact phone number (813) 435-3867.

The enumeration date for this NPI number is 8/8/2019 and was last updated on 8/8/2019.

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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