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
- City
- Lake Geneva
- State
- Wisconsin
- ZIP Code
- 53147-2000
- Phone
- (262) 248-0120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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