# BRADEN C. COMSTOCK, DMD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Trail Creek Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457050619
- **Authorized official:** DR. BRADEN C COMSTOCK DMD (DENTIST)
- **Authorized official phone:** (208) 272-0075

## Contact information

- **Practice address:** 333 S MAIN ST STE 110, KETCHUM, ID 83340-9410
- **Practice address phone:** (208) 272-0075
- **Mailing address:** 333 S MAIN ST STE 110, KETCHUM, ID 83340-9410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/27/2023
- **Last updated:** 02/27/2023
