Brandon T. Mitchell, Dds, Pllc

NPI 1043515976 - Dentist - 122300000X

NPI Details
NPI 1043515976
Enumeration Date 01/25/2011
Last Updated 01/25/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name BRANDON T BRANDON
Position MEMBER MANAGER
Phone (304) 358-2522
Fax
Practice Location
161 SOUTH BRANCH STREET
FRANKLIN WV, 26807, US
Phone (304) 358-2522
Fax
Business Location
PO BOX 145
FRANKLIN WV, 26807-0145, US
Phone (304) 358-2522
Fax
Toxanomy
Taxonomy Code 122300000X
License State West Virginia
License Number 3854
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According to our database, Brandon T. Mitchell, Dds, Pllc NPI is 1043515976, taxonomy code is 122300000X and license number is 3854, license state is located at West Virginia. Brandon T. Mitchell, Dds, Pllc physically located at 161 South Branch Street, Franklin WV, 26807. NPI Number 1033115704 has the healthcare provider type.

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1043515976 NPI number is provided on an as is basis without warranty of any kind. 1043515976 is maintained by the National Plan & Provider Enumeration System. The contents of Brandon T. Mitchell, Dds, Pllc are for informational purposes only.