Individual
DR. BRANDON S LOESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3 E MACARTHUR ST, SHAWNEE, OK 74804-2141
(405) 275-4581
Mailing address
3 E MACARTHUR ST, SHAWNEE, OK 74804-2141
(405) 275-4581
(405) 214-4409
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6715
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200586280A
—
OK
Enumeration date
05/21/2015
Last updated
10/24/2024
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