Individual
BRANDON KENT FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
115 N 3RD ST, SUITE 308, WILMINGTON, NC 28401-4086
(910) 762-1212
Mailing address
350 WINDCHIME DRIVE, WILMINGTON, NC 28412-7375
(910) 632-5497
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8316
NC
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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