Jerome Raymond Branham, DDS Valid NPI
Individual provider · General Practice Dentistry · Birmingham, MI
- NPI
- 1285704205
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 13873 (MI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-11-08
- Last updated
- 2007-07-08
Practice location
751 Chestnut St, # 104
Birmingham, MI 48009
(248) 723-4566