Individual
DR. ANTONIO STANLEY BRAITHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MPH
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-2739
Mailing address
1202 CARIBOU XING, DURHAM, NC 27713-9179
(919) 966-2739
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7958
NC
Other
Enumeration date
06/26/2007
Last updated
07/09/2007
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