NPI | 1679004188 |
---|---|
Doing Business As | BRANDAU FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | GREGORY JAMES BRANDAU Dentist 330-265-1004 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN-21627) |
Enumeration Date | 2017-03-26 |
Last Update Date | 2017-03-26 |