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Individual

DR. MARK T BRAXTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
5075 CARPENTER CREEK DR, PENSACOLA, FL 32503-2521
(850) 477-8482
(850) 477-7604
Mailing address
5075 CARPENTER CREEK DR, PENSACOLA, FL 32503-2521
(850) 477-8482
(850) 477-7604

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN09406
FL

Other

Enumeration date
02/08/2007
Last updated
09/13/2016
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