Individual
BRANDON JAMES LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1015 S BROADWAY, MINOT, ND 58701-4667
(701) 838-1123
Mailing address
3425 15TH ST SE, MINOT, ND 58701-6027
(406) 590-5919
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2438
ND
1223G0001X
General Practice Dentistry
Primary
25075
MT
Other
Enumeration date
06/29/2021
Last updated
04/07/2023
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