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Individual

DR. DAVID RAY BRASWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
347 TATUM AVE, GRENADA, MS 38901-4632
(662) 226-1681
(662) 226-1601
Mailing address
347 TATUM AVE, GRENADA, MS 38901-4632
(662) 226-1681
(662) 226-1601

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
293396
MS

Other

Enumeration date
09/26/2006
Last updated
08/14/2023
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