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1760505226
SIDNEY WAYNE BRANTLEY
PADUCAH, KY
NPI
1760505226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: KY 5162)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
Dr. SIDNEY WAYNE BRANTLEY DMD
166 N FRIENDSHIP RD
PADUCAH, KY 42001-5602
Phone number: 270-554-0123
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Mailing Address
Dr. SIDNEY WAYNE BRANTLEY DMD
166 N FRIENDSHIP RD
PADUCAH, KY 42001-5602
Phone number: 270-554-0123
Copy
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