Individual
BRANDON ADAM VILLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2874 KING ST SE, SMYRNA, GA 30080-3593
(770) 435-7358
Mailing address
2874 KING ST SE, SMYRNA, GA 30080-3593
(770) 435-7358
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104277
CA
Other
Enumeration date
08/16/2019
Last updated
01/16/2023
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