Individual
DR. JOHN MELVIN BRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
213 EAST MONTEREY WAY, PHOENIX, AZ 85012
(602) 265-9393
(602) 265-6456
Mailing address
213 EAST MONTEREY WAY, PHOENIX, AZ 85012
(602) 265-9393
(602) 265-6456
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
749
AZ
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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