Individual
BRANDON SCOTT SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
377 GLENSIDE LANE, POWELL, OH 43065
(614) 668-1011
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30027131
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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