Individual
DR. BRANDON DALE KOFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1400 CRESCENT GRN STE 210, CARY, NC 27518-8118
(919) 858-8193
Mailing address
1400 CRESCENT GRN STE 210, CARY, NC 27518-8118
(919) 858-8193
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7074787-9921
UT
1223P0700X
Prosthodontics
Primary
9664
NC
Other
Enumeration date
12/16/2008
Last updated
05/19/2020
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