Individual
NICHOLAS PAUL BRANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 GEIGER RD, PHILADELPHIA, PA 19115-1009
(304) 952-4704
Mailing address
300 ALEXANDER CT APT 604, PHILADELPHIA, PA 19103-1161
(304) 952-4704
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS043673
PA
Other
Enumeration date
02/11/2020
Last updated
07/18/2022
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