Individual
CHARLES NELSON BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1430 E MAIN ST, SUITE 105, SANTA MARIA, CA 93454
(805) 922-1017
(805) 922-0850
Mailing address
1430 E MAIN ST, SUITE 105, SANTA MARIA, CA 93454
(805) 922-1017
(805) 922-0850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DB035682
CA
Other
Enumeration date
11/24/2006
Last updated
07/08/2007
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