Individual
BRANDON HUMBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2112 NORTH FRANKLIN DRIVE, SUITE 2, WASHINGTON, PA 15301-1530
(724) 223-0579
Mailing address
2112 NORTH FRANKLIN DRIVE, SUITE 2, WASHINGTON, PA 15301
(724) 223-0579
(724) 223-0597
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS040213
PA
390200000X
Student in an Organized Health Care Education/Training Program
390200000
PA
Other
Enumeration date
07/10/2013
Last updated
12/11/2019
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