| NPI | 1831744655 |
|---|---|
| Doing Business As | BRANDON MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MINH B PHAM Owner 813-435-3867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2022-08-25 |