Organization
PHILLIP MARVIN BRAME DDS MS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP MARVIN BRAME SR. DDS MS (BOARD CERTIFIED ORTHODONTIST)
(336) 667-1254
Entity
Organization
Contact information
Practice address
1419 WEST D ST, NORTH WILKESBORO, NC 28659-1367
(336) 667-1254
(336) 667-1255
Mailing address
PO BOX 1367, 1419 WEST D ST, NORTH WILKESBORO, NC 28659-1367
(336) 667-1254
(336) 667-1255
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3987
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8991034
—
NC
Enumeration date
12/05/2007
Last updated
12/05/2007
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