Organization
JOHN M BRACKEN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MELVIN BRACKEN DDS (PRESIDENT)
(602) 265-6456
Entity
Organization
Contact information
Practice address
213 EAST MONTEREY WAY, PHOENIX, AZ 85012-2619
(602) 265-6456
(602) 265-6456
Mailing address
213 EAST MONTEREY WAY, PHOENIX, AZ 85012-2619
(602) 265-6456
(602) 265-6456
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
749
AZ
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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