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DANIEL THOMAS BRAUNECK DMD
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1700174216
Individual Registrant: DANIEL THOMAS BRAUNECK DMD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
120 S HIGHWAY 19 PALATKA, FL 32177-3935 US
Tel: 386-328-9206 Fax: --
Tel: 386-328-9206 Fax: --
Contact information for business:
120 S HIGHWAY 19 PALATKA, FL 32177-3935 US
Tel: 386-328-9206 Fax: --
Tel: 386-328-9206 Fax: --
Registration Information:
NPI: 1700174216
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | FL | DN 19423 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
