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1114112703
PHILIP K BRANTLY
GOLDSBORO, NC
NPI
1114112703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 4613)
Enumeration Date
2007-09-07
Last Update Date
2007-09-07
Business Address
Dr. PHILIP K BRANTLY DDS
1100 PARKWAY DR SUITE A
GOLDSBORO, NC 27534-3477
Phone number: 919-751-0711
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Mailing Address
Dr. PHILIP K BRANTLY DDS
1100 PARKWAY DR SUITE A
GOLDSBORO, NC 27534-3477
Phone number: 919-751-0711
Copy
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