Organization
BRANDON T. MITCHELL, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON T MITCHELL D.D.S (MEMBER MANAGER)
(304) 358-2522
Entity
Organization
Contact information
Practice address
161 SOUTH BRANCH STREET, FRANKLIN, WV 26807
(304) 358-2522
Mailing address
PO BOX 145, FRANKLIN, WV 26807-0145
(304) 358-2522
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3854
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810015545
—
WV
Enumeration date
01/25/2011
Last updated
01/25/2011
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