Organization
ANTONIO S. BRAITHWAITE DDS MPH PA
Active
Other names
Sanford Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO STANLEY BRAITHWAITE DDS, MPH (OWNER/ PEDIATRIC DENTIST)
(919) 260-1154
Entity
Organization
Contact information
Practice address
136 CARBONTON RD, SANFORD, NC 27330-4000
(919) 718-5561
(919) 718-5562
Mailing address
136 CARBONTON RD, SANFORD, NC 27330-4000
(919) 718-5561
(919) 718-5562
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NC
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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