Organization
CLARA W BRANNAN DDS, PS
Active
Other names
South Hill Children's Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARA WINONA BRANNAN DDS (PEDIATRIC DENTIST)
(253) 209-7555
Entity
Organization
Contact information
Practice address
11102 SUNRISE BLVD E STE 108, PUYALLUP, WA 98374-8846
(253) 209-7555
Mailing address
11102 SUNRISE BLVD E STE 108, PUYALLUP, WA 98374-8846
(253) 209-7555
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE00010981
WA
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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