Individual
BRANDON DORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
407 N CONWAY ST, KENNEWICK, WA 99336-3047
(509) 783-4194
Mailing address
407 N CONWAY ST, KENNEWICK, WA 99336-3047
(509) 784-4194
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61085504
WA
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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