Individual
DR. GUNNER LANE BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
511 N RIDGEVIEW DR, WARRENSBURG, MO 64093-9336
(660) 747-9117
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2024038491
MO
1223G0001X
General Practice Dentistry
7910
NE
Other
Enumeration date
06/07/2023
Last updated
10/02/2024
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