Individual
DR. BRANDI HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 N 26TH ST STE 303, LAFAYETTE, IN 47904-2893
(654) 479-3197
Mailing address
415 N 26TH ST STE 303, LAFAYETTE, IN 47904-2893
(765) 447-9319
(765) 447-7227
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12013395A
IN
Other
Enumeration date
03/22/2021
Last updated
09/05/2023
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