Individual
DR. BRANDON KEITH THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MHS
Contact information
Practice address
800 KIRTS BLVD STE 650, TROY, MI 48084-4850
(248) 429-2229
Mailing address
6194 ANNE DR, WEST BLOOMFIELD, MI 48322-3139
(248) 661-6986
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901601504
MI
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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