Individual
BRANDON ALAN MAURATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
418 HUDSON AVE, OAKLEY, KS 67748-1730
(785) 672-3101
Mailing address
815 ANN AVE APT 3C, SAINT LOUIS, MO 63104-4103
(785) 953-0180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61848
KS
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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