Individual
DR. BRENDON JAMES SWENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
4111 CLOCK TOWER AVE, CALDWELL, ID 83607-5006
(208) 649-5721
Mailing address
4111 CLOCK TOWER AVE, CALDWELL, ID 83607-5006
(208) 649-5721
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D-4488-OR
ID
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DE60639221
WA
Other
Enumeration date
01/28/2013
Last updated
01/16/2020
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