Organization
BRANDON D KOFFORD DMD AND UDAY N REEBYE DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON DALE KOFFORD DMD (OFFICER)
(919) 858-8193
Entity
Organization
Contact information
Practice address
1400 CRESCENT GRN STE 210, CARY, NC 27518-8118
(919) 858-8193
(919) 858-8198
Mailing address
1400 CRESCENT GRN STE 210, CARY, NC 27518-8118
(919) 858-8193
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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