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Individual
DAVID CHARLES BRANDENBURG
Active
Individual
DAVID CHARLES BRANDENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
102214
MD
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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