Individual
DR. DONTRA BRANDON SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11901 TOEPPERWEIN RD, 902, LIVE OAK, TX 78233-3161
(410) 258-3869
(718) 901-8121
Mailing address
1114 CAMINO LA COSTA, 3079, AUSTIN, TX 78752-3334
(410) 258-3869
(718) 901-8121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
056528-1
NY
1223E0200X
Endodontics
Primary
30227
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2010
Last updated
08/13/2014
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