Individual
THOMAS BRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
4106 WAKE FOREST RD STE 201, RALEIGH, NC 27609-6397
(919) 277-0788
Mailing address
520 CHAVIS WAY, RALEIGH, NC 27601-1954
(919) 740-1149
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10656
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10656
NC
Other
Enumeration date
05/04/2017
Last updated
05/10/2024
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