Organization
BRANDON FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA HARRELL DDS (OWNER DENTIST)
(248) 520-1939
Entity
Organization
Contact information
Practice address
1201 S ORTONVILLE RD, ORTONVILLE, MI 48462-7600
(248) 627-2866
Mailing address
1201 S ORTONVILLE RD, ORTONVILLE, MI 48462
(248) 627-2866
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020788
MI
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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