Individual
BRANDON CHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3200 OLD JENNINGS RD, MIDDLEBURG, FL 32068-3414
(904) 505-2010
Mailing address
9128 WOODJACK CT, JACKSONVILLE, FL 32256-6706
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN25850
FL
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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