Individual
BRANDON TYLER JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
911 PALATKA RD, LOUISVILLE, KY 40214-3461
(502) 366-2448
(502) 366-3551
Mailing address
911 PALATKA RD, LOUISVILLE, KY 40214-3461
(502) 366-2448
(502) 366-3551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9584
KY
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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