Organization
BRANDON R. WILCOX, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON RODNEY WILCOX D.D.S. (DENTIST/OWNER)
(308) 762-6131
Entity
Organization
Contact information
Practice address
916 W 10TH ST, ALLIANCE, NE 69301-2858
(308) 762-6131
(308) 762-6132
Mailing address
916 W 10TH ST, ALLIANCE, NE 69301-2858
(308) 762-6131
(308) 762-6132
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6926
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100259327-00
—
NE
Enumeration date
05/26/2011
Last updated
06/18/2012
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