MR. Stewart Elgen Braddock, DDS
NPI #1578620431 in Kirbyville, Texas
Provider Information
- NPI Number
- 1578620431
- Entity Type
- Individual
- Name
- MR. Stewart Elgen Braddock, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jan 2, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2091 SOUTH MARGARET
- City
- Kirbyville
- State
- Texas
- ZIP Code
- 75956
- Phone
- (409) 423-5519
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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