Individual
BRANDO R SIPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4076 NEELY ROAD, FORT WAINWRIGHT, AK 99703
(907) 353-2917
Mailing address
4076 NEELY ROAD, FORT WAINWRIGHT, AK 99703
(907) 353-2917
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14229036-9926
UT
Other
Enumeration date
06/26/2023
Last updated
08/04/2025
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