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Individual

DR. BRACKEN ROBERT GODFREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
8 CLARK WAY, SOMERSWORTH, NH 03878-4403
(603) 692-2045
Mailing address
PSC 561 BOX 781, FPO, AP 96310-0008

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D-4082
ID
1223G0001X
General Practice Dentistry
Primary
4479
NH

Other

Enumeration date
07/02/2007
Last updated
04/17/2021
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