Individual
CHARLES L BRANDENBURG III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5011D MACKAY RD, JAMESTOWN, NC 27282
(336) 852-8383
(336) 856-1318
Mailing address
5011D MACKAY RD, JAMESTOWN, NC 27282
(336) 852-8383
(336) 856-1318
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6010
NC
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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