Individual
BRANDON W MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
062205-01
NY
1223P0221X
Pediatric Dentistry
Primary
22DI0-2781600
NJ
Other
Enumeration date
04/15/2019
Last updated
02/28/2024
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