Individual
DR. ROBERT DALLAS BRANSTRATOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3253 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-1222
(928) 775-7433
Mailing address
3253 NORTH WINDSONG DRIVE, PRESCOTT VALLEY, AZ 86314
(928) 775-7433
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4416
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145632
—
AZ
Enumeration date
12/24/2007
Last updated
12/24/2007
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