Individual
BRAYDEN MICHAEL FLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 E COLONIAL AVE, ELIZABETH CITY, NC 27909-4363
(252) 335-4341
Mailing address
408 E COLONIAL AVE, ELIZABETH CITY, NC 27909-4363
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11932
NC
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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