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Individual

BRIANA BRAZILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8700 PINEVILLE MATTHEWS RD STE 920, CHARLOTTE, NC 28226-4748
(704) 336-9595
(704) 336-9587
Mailing address
9326 BROKEN PINE LN, CHARLOTTE, NC 28269-3157
(704) 728-9608

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12152
NC
1223G0001X
General Practice Dentistry
NA
TN

Other

Enumeration date
03/23/2020
Last updated
09/14/2022
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