Melissa Brandner Prof. LLC

NPI #1518355841 in Tea, South Dakota

Provider Information

NPI Number: 1518355841
Entity Type: Organization
Organization Name: Melissa Brandner Prof. LLC
Primary Specialty: Dentist
Enumeration Date: Jan 9, 2015
Last Updated: Jan 9, 2015

Practice Location

Address: 910 N MAIN AVE
Address 2: SUITE 101
City: Tea
State: South Dakota
ZIP Code: 57064-0580
Phone: (605) 498-4746

Authorized Official

Name: DR. MELISSA ANN BRANDNER, D.D.S.
Title: OWNER
Phone: (605) 498-4746

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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