Individual
BRANDON JOSHUA LABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4320 OSAGE BEACH PKWY STE A, OSAGE BEACH, MO 65065-0500
(408) 466-9111
Mailing address
117 N 15TH ST APT 1102, PHILADELPHIA, PA 19102-1518
(408) 466-9111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2023009018
MO
Other
Enumeration date
04/09/2022
Last updated
07/28/2023
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