Individual
DR. BRANDON SCOTT ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
907 FRONTIER CIR E, LAKE STEVENS, WA 98258-2423
(425) 697-9219
Mailing address
232 W RANCHO RD, CORONA, CA 92882-4843
(951) 403-1449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61301188
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE.61301188
WASHINGTON STATE LICENSE
WA
Enumeration date
08/14/2022
Last updated
08/14/2022
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