Individual
BRANDON JAN ZEGAROWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5216 SE WOODSTOCK BLVD, PORTLAND, OR 97206-6150
(925) 286-6422
Mailing address
3601 S RIVER PKWY UNIT 2500, PORTLAND, OR 97239-4565
(925) 286-6422
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D11914
OR
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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