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Individual
BRANDON DAVISON
Active
Individual
BRANDON DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123011
GA
1223G0001X
General Practice Dentistry
Primary
12537
TN
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
06/06/2022
Last updated
09/11/2026
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