Individual
DR. KELLY JOE BRATSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
442 WEST HIGH STREET, SUITE 2, BRYAN, OH 43506
(419) 636-3163
(419) 636-5037
Mailing address
442 WEST HIGH STREET, SUITE 2, BRYAN, OH 43506
(419) 636-3163
(419) 636-5037
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30024388
OH
Other
Enumeration date
05/09/2014
Last updated
07/18/2016
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