Organization
DAVID R BRASWELL DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELIA NECAISE MCDANIEL (RECEPTIONIST)
(662) 226-1681
Entity
Organization
Contact information
Practice address
347 TATUM AVE, GRENADA, MS 38901-4632
(662) 226-1681
(662) 226-1601
Mailing address
347 TATUM AVE, GRENADA, MS 38901-4632
(662) 226-1681
(662) 226-1601
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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