Individual
DR. BRANDON TYLER COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2939 VIRGINIA AVE, HURRICANE, WV 25526-1254
(304) 833-9217
Mailing address
2939 VIRGINIA AVE, HURRICANE, WV 25526-1254
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4596
WV
Other
Enumeration date
10/19/2022
Last updated
04/01/2025
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