Individual
DR. BRIAN MICHAEL BRANCHEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
4100 194TH ST SW STE 209, LYNNWOOD, WA 98036-4613
(206) 422-5083
Mailing address
4100 194TH ST SW STE 209, LYNNWOOD, WA 98036-4613
(206) 422-5083
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE 60306318
WA
1223P0300X
Periodontics
Primary
DE60306318
WA
Other
Enumeration date
08/14/2013
Last updated
02/05/2019
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