Individual
DR. PHILIP K BRANTLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1100 PARKWAY DR, SUITE A, GOLDSBORO, NC 27534-3477
(919) 751-0711
(919) 751-1248
Mailing address
1100 PARKWAY DR, SUITE A, GOLDSBORO, NC 27534-3477
(919) 751-0711
(919) 751-1248
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4613
NC
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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