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1922419597
BRANDON MALL DENTAL P.A.
BRANDON, FL
NPI
1922419597
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Entity Type
Organization
Authorized Contact
ROSTISLAV KRASNOV
Dds
954-846-7171
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL DN16377)
Enumeration Date
2014-05-16
Last Update Date
2014-05-16
Business Address
BRANDON MALL DENTAL P.A.
675 BRANDON TOWN CENTER MALL
BRANDON, FL 33511-4770
Phone number: 954-846-7171
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Mailing Address
BRANDON MALL DENTAL P.A.
675 BRANDON TOWN CENTER MALL
BRANDON, FL 33511-4770
Phone number: 954-846-7171
Copy
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