Individual
JOSEPH ADAMS BRANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
621 CHATHAM AVE, COLUMBIA, SC 29205-2734
(803) 256-1817
Mailing address
621 CHATHAM AVE, COLUMBIA, SC 29205-2734
(803) 256-1817
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3605
SC
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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