Individual
DR. MICHAEL JACOB BRATLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1333 W HARVARD AVE, ROSEBURG, OR 97470
(541) 672-2747
(541) 672-2757
Mailing address
PO BOX 1541, ROSEBURG, OR 97470-0360
(541) 672-2747
(541) 672-2757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8594
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023810
—
OR
Enumeration date
10/18/2005
Last updated
08/14/2024
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