BRIAN TIMOTHY BRACKEN

SUMTER, SC
NPI1063764025
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: VA  0401418752)
Additional Taxonomies1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: SC  DGD8524)
Enumeration Date2012-10-15
Last Update Date2024-02-02
Business Address
Dr. BRIAN TIMOTHY BRACKEN DMD
1121 BROAD ST
SUMTER, SC 29150-1902
Phone number: 201-919-1950
Mailing Address
Dr. BRIAN TIMOTHY BRACKEN DMD
31 FROGMORE RD
MT PLEASANT, SC 29464-6651
Phone number: 201-919-1950