Organization
OREGON PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN R BRANAM D.D.S. (PEDIATRIC DENTIST)
(419) 698-4339
Entity
Organization
Contact information
Practice address
3140 DUSTIN RD, OREGON, OH 43616-4341
(419) 698-4339
(419) 698-3484
Mailing address
3140 DUSTIN RD, OREGON, OH 43616-4341
(419) 698-4339
(419) 698-3484
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
14897
OH
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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