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Organization
THERESA RENAE BRADDY DDS PLLC
Active
Organization
THERESA RENAE BRADDY DDS PLLC
Active
Other names
Martin Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
RENAE BRADDY KOSHA DDS (OWNER)
(252) 945-8781
Entity
Organization
Contact information
Practice address
915 E FIRE TOWER RD STE 100, WINTERVILLE, NC 28590-9303
(252) 689-3957
Mailing address
915 E FIRE TOWER RD STE 100, WINTERVILLE, NC 28590-9303
(252) 689-3957
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2026
Last updated
08/21/2026
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