Individual
CHAD BRANTLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2149 OFFICE PARK DR, SAN ANGELO, TX 76904-6803
(325) 949-9668
(325) 949-0422
Mailing address
2149 OFFICE PARK DR, SAN ANGELO, TX 76904-6803
(325) 949-9668
(325) 949-0422
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27156
TX
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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