Dr John G Branz

NPI #1851550800 in Wallace, Idaho

Provider Information

NPI Number: 1851550800
Entity Type: Organization
Organization Name: Dr John G Branz
Primary Specialty: Dentist
Enumeration Date: Jun 5, 2008
Last Updated: Jun 5, 2008

Practice Location

Address: 413 PINE ST
City: Wallace
State: Idaho
ZIP Code: 83873-2256
Phone: (208) 752-4681

Authorized Official

Name: DR. JOHN GUY BRANZ, DDS
Title: OWNER
Phone: (208) 752-4681

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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