PAUL ALAN BRANNEN

SALEM, OR
NPI1881825032
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D9960)
Additional Taxonomies122300000X Dentist
(Licence: OR  d9660)
122300000X Dentist
(Licence: AK  DEN D 1310)
Enumeration Date2009-08-06
Last Update Date2024-07-31
Business Address
PAUL ALAN BRANNEN DMD
4372 LIBERTY RD S
SALEM, OR 97302-6171
Phone number: 503-581-3727
Mailing Address
PAUL ALAN BRANNEN DMD
4372 LIBERTY RD S
SALEM, OR 97302-6171
Phone number: 503-581-3727