DR. Jason Dennis Brandt, D.D.S.

NPI #1942204813 in Woodbridge, Virginia

Provider Information

NPI Number: 1942204813
Entity Type: Individual
Name: DR. Jason Dennis Brandt, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jun 9, 2005
Last Updated: Apr 26, 2011

Practice Location

Address: 13663 OFFICE PL
Address 2: STE 103
City: Woodbridge
State: Virginia
ZIP Code: 22192-4216
Phone: (703) 878-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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