Organization
BRAXTON FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONIA DENISE BRAXTON DDS (DENTIST)
(901) 775-0870
Entity
Organization
Contact information
Practice address
1154 S BELLEVUE BLVD, MEMPHIS, TN 38106-3428
(901) 775-0870
(901) 775-0873
Mailing address
1154 S BELLEVUE BLVD, MEMPHIS, TN 38106-3428
(901) 775-0870
(901) 775-0873
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7160
TN
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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