Individual
EMILY BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-6661
Mailing address
45-995 WAILELE RD, UNIT 69, KANEOHE, HI 96744-3051
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030373
IL
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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