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Organization
DR JOHN G BRANZ
Active
Organization
DR JOHN G BRANZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GUY BRANZ DDS (OWNER)
(208) 752-4681
Entity
Organization
Contact information
Practice address
413 PINE ST, WALLACE, ID 83873-2256
(208) 752-4681
(208) 752-1259
Mailing address
413 PINE STREET, WALLACE, ID 83873
(208) 752-4681
(208) 752-1259
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
ID
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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