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1891828471
DWAYNE BACCHUS
BRANDON, FL
NPI
1891828471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL DN19547)
Enumeration Date
2007-03-13
Last Update Date
2022-04-13
Business Address
Dr. DWAYNE BACCHUS DDS
2468 W BRANDON BLVD
BRANDON, FL 33511-4717
Phone number: 813-257-8318
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Mailing Address
Dr. DWAYNE BACCHUS DDS
2468 W BRANDON BLVD
BRANDON, FL 33511-4717
Phone number: 813-257-8318
Copy
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