Brandon Mall Dental PA
Brandon Mall Dental PA provides Dentist services in Brandon, Florida. Licensed in Florida. Registered with an NPI since 2014.
- Licensed in
- FL
- In the registry since
- 2014
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
675 Brandon Town Center MallBrandon, FL 33511-4770 Not confirmed with CMS for 12 years — call before visiting
Phone: (954) 846-7171
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence DN16377 (FL) |
|---|
Record details
| NPI number | 1922419597 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rostislav Krasnov — Dds · (954) 846-7171 |
| NPI enumerated | May 16, 2014 |
| Last updated in NPPES | May 16, 2014 |
| Mailing address | 675 Brandon Town Center Mall, Brandon, FL 33511-4770 |
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Brandon Smiles LLC
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Dr. David Bruck, DDS
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