Individual
BRANDI GILLELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
240 HICKORY ST, SANFORD, CO 81151
(719) 480-3285
Mailing address
PO BOX 316, SANFORD, CO 81151-0316
(719) 480-3285
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
000905856
CO
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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