Individual
DR. THOMAS GUNNAR BRANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
400 DICEY FORD RD, CAMDEN, SC 29020-2431
(803) 432-4202
Mailing address
400 DICEY FORD RD, CAMDEN, SC 29020-2431
(803) 432-4202
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10513
SC
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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