Individual
BRANDON JAMES WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6001
(505) 368-6360
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6001
(505) 368-6360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-023500
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050623
—
OH
Enumeration date
06/27/2011
Last updated
01/17/2019
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