Most Relevant Information
Provider Data
| NPI Number: | 1003268657 |
| Provider Name: | BRANDY TRISTAN R.D.H. |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | DH-3054 |
Most Important Dates
| Enumeration Date: | 07/07/2016 |
| Last Updated: | 07/07/2016 |
Provider Practice Location
BLDG 3406
TROOP DENTAL CLINIC
FT. WAINWRIGHT
AK
99703
Practice Location Phone/Fax
| Phone: | 9073532917 |
| Fax: |
Provider Mailing Location
BLDG 3406
TROOP DENTAL CLINIC
FT. WAINWRIGHT
AK
99703
Provider Mailing Phone/Fax
| Phone: | 9073532917 |
| Fax: |