Individual
ZACK BRACKET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
301 RADFORD ST, CHRISTIANSBURG, VA 24073-3346
(540) 200-8663
Mailing address
301 RADFORD ST, CHRISTIANSBURG, VA 24073-3346
(540) 200-8663
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1609399385
VA
Other
Enumeration date
07/25/2017
Last updated
12/11/2024
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