Organization
OREGON DENTISTRY STEPHEN BRANAM, DDS INC.
Active
Other names
Oregon Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDALENA EVANS (SENIOR CREDENTIALING SPECIALIST)
(720) 272-7558
Entity
Organization
Contact information
Practice address
3140 DUSTIN RD, OREGON, OH 43616-4341
(419) 750-6432
(419) 698-3484
Mailing address
3140 DUSTIN RD, OREGON, OH 43616-4341
(419) 750-6432
(419) 698-3484
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
06/23/2023
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