Individual
DR. JASON DENNIS BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13663 OFFICE PL, STE 103, WOODBRIDGE, VA 22192-4216
(703) 878-2100
(703) 878-2422
Mailing address
13663 OFFICE PL, STE 103, WOODBRIDGE, VA 22192-4216
(703) 878-2100
(703) 878-2422
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401008838
VA
Other
Enumeration date
06/09/2005
Last updated
04/26/2011
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