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Organization
M. STEPHEN BRANDON, DDS LLC
Active
Organization
M. STEPHEN BRANDON, DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL STEPHEN BRANDON DDS (OWNER)
(843) 769-7759
Entity
Organization
Contact information
Practice address
1051 GARDNER RD STE B, CHARLESTON, SC 29407-5747
(843) 769-7759
(843) 769-7761
Mailing address
1051 GARDNER RD STE B, CHARLESTON, SC 29407-5747
(843) 769-7759
(843) 769-7761
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4281
SC
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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