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Individual

BRANDON LUTHER NASH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5345 N EL DORADO ST, SUITE 1, STOCKTON, CA 95207-5872
(209) 952-1561
(209) 952-2962
Mailing address
5345 N EL DORADO ST, SUITE 1, STOCKTON, CA 95207-5872
(209) 952-1561
(209) 952-2962

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
46413
CA

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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