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Charles Nelson Brannon, DDS

Dentist in Santa Maria, CA. Individual provider (NPI-1).

NPI number1487720397
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1487720397
Entity type
Individual (NPI-1)
Name
Charles Nelson Brannon
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Nov 24, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDB035682CAYes

Practice location

1430 E Main St
Suite 105
Santa Maria, CA 93454

Phone 805-922-1017 · Fax 805-922-0850

Mailing address

1430 E Main St
Suite 105
Santa Maria, CA 93454

Phone 805-922-1017 · Fax 805-922-0850

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