# BRANDON FAMILY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275923526
- **Authorized official:** ANGELA HARRELL DDS (OWNER DENTIST)
- **Authorized official phone:** (248) 520-1939

## Contact information

- **Practice address:** 1201 S ORTONVILLE RD, ORTONVILLE, MI 48462-7600
- **Practice address phone:** (248) 627-2866
- **Mailing address:** 1201 S ORTONVILLE RD, ORTONVILLE, MI 48462
- **Mailing address phone:** (248) 627-2866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901020788 | MI | Yes |

## Other

- **Enumeration date:** 01/26/2015
- **Last updated:** 01/26/2015