Individual
BRANDON ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
300 W BROAD ST, RICHMOND, VA 23220-4219
(804) 780-2888
(804) 643-1916
Mailing address
300 W BROAD ST, RICHMOND, VA 23220-4219
(804) 780-2888
(804) 643-1916
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411279
VA
Other
Enumeration date
10/18/2006
Last updated
12/05/2012
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