Individual
DR. SONIA DENISE BRAXTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
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
DS7160
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3207022
—
TN
Enumeration date
11/28/2005
Last updated
07/08/2007
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