| Martha Jo Braid Dmd Llc | |
|
2801-7 Civic Circle Blvd Marion IL 62959 | |
| (618) 998-9868 | |
| (618) 998-9870 |
| Full Name | Martha Jo Braid Dmd Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2801-7 Civic Circle Blvd, Marion, Illinois |
| Authorized Official Name and Position | Pam Hardiek (INSURANCE/CREDENTIALING) |
| Authorized Official Contact | 2105405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martha Jo Braid Dmd Llc 2801-7 Civic Circle Blvd Marion IL 62959 Ph: (618) 998-9868 | Martha Jo Braid Dmd Llc 2801-7 Civic Circle Blvd Marion IL 62959 Ph: (618) 998-9868 |
| NPI Number | 1669621140 |
|---|---|
| Provider Enumeration Date | 09/09/2008 |
| Last Update Date | 09/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669621140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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