Robert Samuel Branham D.D.S.

NPI 1154334688 - Dentist - 1223G0001X

NPI Details
NPI 1154334688
Gender Male
Enumeration Date 08/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4051 POSTAL DR
ROANOKE VA, 24018-6439, US
Phone (540) 774-0061
Fax
Business Location
4051 POSTAL DR
ROANOKE VA, 24018-6439, US
Phone (540) 774-0061
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Virginia
License Number 004203
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According to our database, Robert Samuel Branham D.D.S. NPI is 1154334688, taxonomy code is 1223G0001X and license number is 004203, license state is located at Virginia. Robert Samuel Branham D.D.S. physically located at 4051 Postal Dr, Roanoke VA, 24018-6439. NPI Number Robert Samuel Branham D.D.S. has the Individual type.

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1154334688 NPI number is provided on an as is basis without warranty of any kind. 1154334688 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Samuel Branham D.D.S. are for informational purposes only.