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1679116412
BRANDON FAMILY DENTAL CARE LLC
BRANDON, FL
NPI
1679116412
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Entity Type
Organization
Authorized Contact
DONNA L LICAUSE
Office Manager
813-685-5611
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2019-10-24
Last Update Date
2019-12-18
Business Address
BRANDON FAMILY DENTAL CARE LLC
227 N KNIGHTS AVE
BRANDON, FL 33510-4390
Phone number: 813-685-5610
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Mailing Address
BRANDON FAMILY DENTAL CARE LLC
227 N KNIGHTS AVE
BRANDON, FL 33510-4390
Phone number: 813-685-5610
Copy
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