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1942377569
MARK D BRANNON
PHOENIX, AZ
NPI
1942377569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ D02856)
Enumeration Date
2006-11-29
Last Update Date
2020-04-09
Business Address
Dr. MARK D BRANNON DDS
11110 N TATUM BLVD STE H102
PHOENIX, AZ 85028-1607
Phone number: 602-354-7607
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Mailing Address
Dr. MARK D BRANNON DDS
11110 N TATUM BLVD STE H102
PHOENIX, AZ 85028-1607
Phone number: 602-354-7607
Copy
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