CHARLES L BRANEN DMD PC

PORTLAND, OR
NPI1053614396
Entity TypeOrganization
Authorized ContactCHARLES LEE BRANEN
Dentist
503-288-6963
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
(Licence: OR  D7206)
Enumeration Date2010-12-08
Last Update Date2010-12-08
Business Address
CHARLES L BRANEN DMD PC
4433 NE TILLAMOOK ST
PORTLAND, OR 97213-1317
Phone number: 503-288-6963
Mailing Address
CHARLES L BRANEN DMD PC
4433 NE TILLAMOOK ST
PORTLAND, OR 97213-1317
Phone number: 503-288-6963
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