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Individual
DR. CRAIG BRANDON
Active
Individual
DR. CRAIG BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D9396
OR
122300000X
Dentist
Primary
DE00007254
WA
1223G0001X
General Practice Dentistry
50860
CA
Other
Enumeration date
12/06/2007
Last updated
06/27/2011
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