Individual
DR. BRANDT G MONFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
217 SE 136TH AVE, SUITE # 102, VANCOUVER, WA 98684
(360) 896-9595
(360) 896-9703
Mailing address
217 SE 136TH AVE, SUITE # 102, VANCOUVER, WA 98684
(360) 896-9595
(360) 896-9703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7632
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5029087
—
WA
Enumeration date
11/02/2006
Last updated
07/08/2007
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