Individual
DR. EMILLIE CLAIRE BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
60 MDG/SGDD, 101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7000
Mailing address
60 MDG/SGDD, 101 BODIN CIR, TRAVIS AFB, CA 94535-1809
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS-09562
IA
Other
Enumeration date
06/11/2018
Last updated
08/01/2024
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