BRANDON LEE GREENWALT

GAINESVILLE, FL
NPI1194087742
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: FL  DN 19737)
Enumeration Date2012-06-11
Last Update Date2013-10-29
Business Address
Dr. BRANDON LEE GREENWALT DMD
410 NE WALDO RD
GAINESVILLE, FL 32641-5685
Phone number: 352-375-3790
Mailing Address
Dr. BRANDON LEE GREENWALT DMD
1302 RIVER ST
PALATKA, FL 32177-5042
Phone number: 386-328-8371
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