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1659761765
BRANDON TRAMELL MACK
TAMPA, FL
NPI
1659761765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL Dn21070)
Enumeration Date
2015-01-27
Last Update Date
2015-10-08
Business Address
Dr. BRANDON TRAMELL MACK D.d.s.
111 N 12TH ST SUITE 1105
TAMPA, FL 33602-3661
Phone number: 813-397-3632
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Mailing Address
Dr. BRANDON TRAMELL MACK D.d.s.
1081 A1A BEACH BLVD
ST AUGUSTINE, FL 32080-6733
Phone number: 904-471-3291
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