Individual
DR. BRANDON HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4717 E RAY RD, PHOENIX, AZ 85044-6230
(248) 417-3215
Mailing address
2950 CRANBROOK RIDGE CT, ROCHESTER, MI 48306-4711
(248) 417-3215
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901601197
MI
122300000X
Dentist
DN122996
GA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D011897
AZ
Other
Enumeration date
05/17/2022
Last updated
08/09/2023
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