Brandon Dorman, DDS
Dentist in Kennewick, WA. Individual provider (NPI-1).
NPI number1164034351
StatusActive
Last updated in NPPESAug 19, 2020
Details
- NPI
- 1164034351
- Entity type
- Individual (NPI-1)
- Name
- Brandon Dorman
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2020
- Certification date
- Aug 19, 2020
- Last updated
- Aug 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DE61085504 | WA | Yes |
Practice location
407 N Conway StKennewick, WA 99336-3047
Phone 509-783-4194
Mailing address
407 N Conway StKennewick, WA 99336-3047
Phone 509-784-4194
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