Organization
ANDREW J. BRANCH, D.D.S.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW J BRANCH DDS (OWNER)
(704) 843-3958
Entity
Organization
Contact information
Practice address
514 NORTH BROOME STREET, WAXHAW, NC 28173
(704) 843-3958
Mailing address
514 NORTH BROOME STREET, PO BOX 130, WAXHAW, NC 28173
(704) 843-3958
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4881
NC
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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