Individual
MR. BRANDON B COTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
210 MAIN ST, #460, ELLENDALE, ND 58436
(701) 349-3636
(701) 349-2137
Mailing address
PO BOX 460, ELLENDALE, ND 58436
(701) 349-3636
(701) 349-2137
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD4576
NM
Other
Enumeration date
08/04/2016
Last updated
06/11/2024
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