| Great White Dental | |
|
888 S Parsons Ave Brandon FL 33511-6007 | |
| (786) 683-0511 | |
| Not Available |
| Full Name | Great White Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 888 S Parsons Ave, Brandon, Florida |
| Authorized Official Name and Position | Julio C. Marino (MANAGING PARTNER) |
| Authorized Official Contact | 7866830511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great White Dental 7887 Gardner Dr Naples FL 34109-0608 Ph: (786) 683-0511 | Great White Dental 888 S Parsons Ave Brandon FL 33511-6007 Ph: (786) 683-0511 |
| NPI Number | 1336978147 |
|---|---|
| Provider Enumeration Date | 07/30/2024 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336978147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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