Individual
DR. BRIAN FREDERICK BRAGASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
300 PRIME PT STE 200, PEACHTREE CITY, GA 30269-6851
(770) 487-5505
Mailing address
300 PRIME PT STE 200, PEACHTREE CITY, GA 30269-6851
(770) 487-5505
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN014082
GA
Other
Enumeration date
10/18/2010
Last updated
03/26/2024
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