Individual
BRANDON DIEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3746 FALLON RD, DUBLIN, CA 94568-7400
(925) 803-0100
Mailing address
1616 BANBURY DR, SAN RAMON, CA 94582-5783
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
109520
CA
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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