Individual
DR. BRANDON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
767 N HILL ST STE 213, LOS ANGELES, CA 90012-2365
(213) 808-1790
Mailing address
1160 VAL VISTA ST, POMONA, CA 91768-1352
(818) 974-3882
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
101463
CA
122300000X
Dentist
Primary
DDS101463
CA
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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