Individual
BRANDON REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
860 BEAR CREEK DR, MOLALLA, OR 97038-9044
(971) 255-9040
Mailing address
860 BEAR CREEK DR, MOLALLA, OR 97038-9044
(971) 255-9040
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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