Individual
BRANDON L KIDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6447 E. KEYNOTE ST., LONG BEACH, CA 90808
(562) 429-0473
Mailing address
6447 E KEYNOTE ST, LONG BEACH, CA 90808-2421
(562) 429-0473
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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