Individual
BRANDON SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2509 W WACKERLY ST, MIDLAND, MI 48640-6922
(989) 633-9811
Mailing address
2509 W WACKERLY ST, MIDLAND, MI 48640-6922
(989) 633-9811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022670
MI
Other
Enumeration date
06/22/2019
Last updated
08/15/2023
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