Organization
M. STEPHEN BRANDON, DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL STEPHEN BRANDON DDS (OWNER)
(843) 769-7759
Entity
Organization
Contact information
Practice address
1051 GARDNER RD STE B, CHARLESTON, SC 29407-5747
(843) 769-7759
(843) 769-7761
Mailing address
1051 GARDNER RD STE B, CHARLESTON, SC 29407-5747
(843) 769-7759
(843) 769-7761
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4281
SC
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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