Individual
ANITA LYNNETTE BRABSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3620 COUNTY ST, PORTSMOUTH, VA 23707-3104
(757) 397-8877
(757) 397-8997
Mailing address
4005 CLIPPER LN, PORTSMOUTH, VA 23703-5302
(757) 673-7548
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007945
VA
Other
Enumeration date
10/27/2005
Last updated
07/09/2007
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