Individual
NICHOLAS BRANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ STE 230, SAINT LOUIS, MO 63110-1003
(314) 361-6006
Mailing address
1034 S BRENTWOOD BLVD STE 1010, SAINT LOUIS, MO 63117-1210
(314) 721-1010
(314) 721-5276
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2024009328
MO
Other
Enumeration date
02/24/2020
Last updated
07/12/2024
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