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Individual

DR. DANIEL JOHN BRAYTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
470 W CENTRE AVE, SUITE B, PORTAGE, MI 49024-5362
(269) 327-1200
(269) 327-4002
Mailing address
470 WEST CENTRE AVE., SUITE B, PORTAGE, MI 49002
(269) 327-1200
(269) 327-4002

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901017223
MI

Other

Enumeration date
03/03/2008
Last updated
03/03/2008
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