Individual
DR. GEORGE A. BRANT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5553 NE GLISAN ST, SUITE 200, PORTLAND, OR 97213-3173
(503) 232-2228
(503) 232-7012
Mailing address
5553 NE GLISAN ST, SUITE 200, PORTLAND, OR 97213-3173
(503) 232-2228
(503) 232-7012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5942
OR
Other
Enumeration date
08/16/2005
Last updated
07/08/2007
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