Individual
JESSE M BRANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1660 SOUTH COLUMBIAN WAY, DEPT OF VETERANS AFFAIRS PUGET SOUND HEALTH SYSTEM, SEATTLE, WA 98108
(206) 762-1010
Mailing address
1660 SOUTH COLUMBIAN WAY, SEATTLE, WA 98108
(206) 227-2933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE30687475
WA
1223G0001X
General Practice Dentistry
DE60387475
WA
Other
Enumeration date
07/08/2013
Last updated
10/01/2013
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