Individual
BRANDON LEE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1735 S PUBLIC RD, LAFAYETTE, CO 80026-7093
(303) 650-4460
Mailing address
203 S ROLLIE AVE, FORT LUPTON, CO 80621-1508
(303) 892-6401
(303) 286-4589
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00204293
CO
1223G0001X
General Practice Dentistry
33090
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33090
TEXAS STATE BOARD OF DENTAL EXAMINERS
TX
Enumeration date
07/03/2017
Last updated
07/25/2024
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