Individual
BRANDON PATRICK ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1060 S HARRISON RD STE 110, TUCSON, AZ 85748-6603
(520) 917-0666
Mailing address
1060 S HARRISON RD STE 110, TUCSON, AZ 85748-6603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011904
AZ
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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