Individual
DR. ASHANTI D'METRA BRAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
875 UNION AVE, MEMPHIS, TN 38163
(901) 448-2211
Mailing address
875 UNION AVE, MEMPHIS, TN 38163
(901) 448-2211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9244
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/22/2008
Last updated
02/01/2013
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