Organization
THERESA RENAE BRADDY DDS PLLC
Active
Other names
Martin Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
RENAE 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
02/27/2026
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