Individual
BRANDON KAZZAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1100 NE E ST, GRANTS PASS, OR 97526-2369
(641) 479-5505
Mailing address
1100 NE E ST, GRANTS PASS, OR 97526-2369
(541) 479-5505
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12027
OR
Other
Enumeration date
07/10/2024
Last updated
07/16/2024
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