Individual
BRETT MASON HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-1129
(937) 818-5346
Mailing address
2032 RACE ST APT 3R, PHILADELPHIA, PA 19103-1129
(937) 818-5346
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DB-2025-0225
NM
Other
Enumeration date
04/26/2024
Last updated
11/11/2025
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