JAMES WALLACE BRANTLEY

JACKSON, MS
NPI1447469622
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MS  179478)
Enumeration Date2007-05-22
Last Update Date2007-07-08
Business Address
Mr. JAMES WALLACE BRANTLEY DMD
5685 HWY 18 WEST
JACKSON, MS 39209-9622
Phone number: 603-373-2404
Mailing Address
Mr. JAMES WALLACE BRANTLEY DMD
5685 HWY 18 WEST
JACKSON, MS 39209-9622
Phone number: 603-373-2404
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