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Individual
BRANDON NAKKEN
Active
Individual
BRANDON NAKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10335222-8903
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902285190
—
UT
Enumeration date
05/21/2015
Last updated
07/21/2022
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