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DR. KELLY JOE BRATSBERG D.D.S

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1568873883

Individual Registrant:
DR. KELLY JOE BRATSBERG D.D.S
Gender: F
Not Sole Proprietor

Location and contact information for practice:
442 WEST HIGH STREET SUITE 2 BRYAN, OH 43506 US
Tel: 419-636-3163  Fax: 419-636-5037

Contact information for business:
442 WEST HIGH STREET SUITE 2 BRYAN, OH 43506 US
Tel: 419-636-3163  Fax: 419-636-5037

Registration Information:
NPI: 1568873883
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
OH30024388

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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