Individual
DR. TOBY WAYNE BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2864 TRACELAND DR, TUPELO, MS 38801-4200
(662) 842-0212
Mailing address
1065 COUNTY ROAD 1948, SALTILLO, MS 38866-6835
(662) 279-4535
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4047-19
MS
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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