Individual
DR. WILLIAM GEORGE BRANDENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4068 FIVE FORKS TRICKUM RD SW, LILBURN, GA 30047-2341
(770) 923-4630
Mailing address
4068 FIVE FORKS TRICKUM RD SW, LILBURN, GA 30047-2341
(770) 923-4630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN008640
GA
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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