Individual
DR. HEATH B BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10941 RAVEN RIDGE RD, RALEIGH, NC 27614-6487
(919) 870-1201
Mailing address
10941 RAVEN RIDGE RD, RALEIGH, NC 27614-6487
(919) 870-1201
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9487
NC
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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