NPI | 1053608521 |
---|---|
Other Name | JOSHUA BRATT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NY 057154) |
Additional Taxonomies | 122300000X Dentist (Licence: ME DEN4224) |
122300000X Dentist (Licence: VT 016-0087001) | |
1223D0001X Dentist, Dental Public Health (Licence: VT 016-0087001) | |
1223D0001X Dentist, Dental Public Health (Licence: VT 16-0087001) | |
Enumeration Date | 2011-07-06 |
Last Update Date | 2021-03-02 |