| Braden Dental Group | |
|
214 State Rd Media PA 19063-1319 | |
| (610) 566-5322 | |
| Not Available |
| Full Name | Braden Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 214 State Rd, Media, Pennsylvania |
| Authorized Official Name and Position | Douglas Braden Sherly (PRESIDENT) |
| Authorized Official Contact | 6095605902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Braden Dental Group 214 State Rd Media PA 19063-1319 Ph: () - | Braden Dental Group 214 State Rd Media PA 19063-1319 Ph: (610) 566-5322 |
| NPI Number | 1134330343 |
|---|---|
| Provider Enumeration Date | 05/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134330343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS031086L (Pennsylvania) | Primary |
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