Individual
DR. BRYAN DAVID BRAASCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6821 WOODCREST DR, FORT WAYNE, IN 46815-5570
(260) 417-4981
Mailing address
6821 WOODCREST DR, FORT WAYNE, IN 46815-5570
(260) 417-4981
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012182A
IN
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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