Individual
BRANDON ASTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2274 N EAGLE RD STE 130, MERIDIAN, ID 83646-6617
(208) 893-5440
Mailing address
2274 N EAGLE RD STE 130, MERIDIAN, ID 83646-6617
(208) 893-5440
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
110831
AK
1223E0200X
Endodontics
7071892
ID
1223E0200X
Endodontics
Primary
DEN.00205684
CO
1223E0200X
Endodontics
RES.004408
OH
Other
Enumeration date
02/08/2016
Last updated
02/12/2026
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