| NPI | 1649848904 |
|---|---|
| Professional Name | BRENDON THUESON TINGEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: UT 12797324-9923) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IA DDS-09893) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2022-04-26 |