Search › Florida › 122300000X
Sam Issa, BDS, HDD
NPI 1720577505 · on the registry since 2018
Practice
- Address
- 410 W Bloomingdale Ave
Brandon, FL 33511 - Phone
- (813) 654-0037
- Organisation at this address
- Gary Selby Dds Pa
Sage Dental Of Brandon PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
390200000X - Licence states on file
- WA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida