Organization
PHILLIP MARVIN BRAME DDS MS PA
Active
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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