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Organization

BRANDON D KOFFORD DMD AND UDAY N REEBYE DMD PLLC

Active
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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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