Individual
DANIEL THOMAS BRAUNECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
120 S HIGHWAY 19, PALATKA, FL 32177-3935
(386) 328-9206
Mailing address
120 S HIGHWAY 19, PALATKA, FL 32177-3935
(386) 328-9206
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 19423
FL
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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