Dianne Elliott Braddock, DA II

NPI #1154583813 in Statesville, North Carolina

Provider Information

NPI Number: 1154583813
Entity Type: Individual
Name: Dianne Elliott Braddock, DA II
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Credential: DA II
Enumeration Date: Jun 25, 2008
Last Updated: Jun 25, 2008

Practice Location

Address: 318 TURNERSBURG HWY
City: Statesville
State: North Carolina
ZIP Code: 28625-2798
Phone: (704) 878-5300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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