Organization
MARK D BRANNON DDS LLC
Active
Other names
Brannon Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRANNON DDS (OWNER)
(480) 563-0000
Entity
Organization
Contact information
Practice address
21809 N SCOTTSDALE RD, C 105, SCOTTSDALE, AZ 85255-7440
(480) 563-0000
(480) 563-4445
Mailing address
21809 N SCOTTSDALE RD, C 105, SCOTTSDALE, AZ 85255-7440
(480) 563-0000
(480) 563-4445
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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