Individual
PAUL ALAN BRANNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4372 LIBERTY RD S, SALEM, OR 97302-6171
(503) 581-3727
(503) 339-9568
Mailing address
4372 LIBERTY RD S, SALEM, OR 97302-6171
(503) 581-3727
(503) 339-9568
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D9660
OR
122300000X
Dentist
DEN D 1310
AK
1223G0001X
General Practice Dentistry
Primary
D9960
OR
Other
Enumeration date
08/06/2009
Last updated
07/31/2024
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