ANDREW JACKSON BRANCH

WAXHAW, NC
NPI1902912231
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NC  4881)
Additional Taxonomies122300000X Dentist
(Licence: SC  2622)
Enumeration Date2006-08-21
Last Update Date2007-07-08
Business Address
Dr. ANDREW JACKSON BRANCH DDS
514 N BROOME ST
WAXHAW, NC 28173
Phone number: 704-843-3958
Mailing Address
Dr. ANDREW JACKSON BRANCH DDS
PO BOX 130
WAXHAW, NC 28173
Phone number: 704-843-3958
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