Ryan Thomas Braden

NPI #1710136585 in Lake Geneva, Wisconsin

Provider Information

NPI Number
1710136585
Entity Type
Individual
Name
Ryan Thomas Braden
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 16, 2008
Last Updated
Sep 16, 2008

Practice Location

Address
101 BROAD ST
Address 2
SUITE 203
ZIP Code
53147-2000
Phone
(262) 248-0120

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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