Individual
DR. BRANDON PRIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
13759 MANCHESTER RD, BALLWIN, MO 63011-4501
(636) 585-0100
Mailing address
13759 MANCHESTER RD, BALLWIN, MO 63011-4501
(636) 585-0100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019031204
IL
122300000X
Dentist
Primary
2017019883
MO
Other
Enumeration date
06/19/2017
Last updated
02/03/2021
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