Individual
DR. BRANDON M PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7871 SPRINGWOOD TER, COLORADO SPRINGS, CO 80908-5627
(210) 884-9688
Mailing address
7871 SPRINGWOOD TER, COLORADO SPRINGS, CO 80908-5627
(210) 884-9688
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27563
TX
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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