Individual
JEANETTE LYNN BRANDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
509 OLIVE WAY, 1556, SEATTLE, WA 98101-1720
(206) 292-9926
(206) 292-0312
Mailing address
509 OLIVE WAY, 1556, SEATTLE, WA 98101-1720
(206) 292-9926
(206) 292-0312
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5692
WA
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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