Individual
JOSEPH OLEM BRANNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4394 HUGH HOWELL RD SUITE 7, TUCKER, GA 30084-4913
(770) 621-0830
(770) 621-9893
Mailing address
4394 HUGH HOWELL RD SUITE 7, TUCKER, GA 30084-4913
(770) 621-0830
(770) 621-9893
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN008641
GA
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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