Organization
BRADEN DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS BRADEN SHERLY DMD (PRESIDENT)
(609) 560-5902
Entity
Organization
Contact information
Practice address
214 STATE RD, MEDIA, PA 19063-1319
(610) 566-5322
Mailing address
214 STATE RD, MEDIA, PA 19063-1319
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS031086L
PA
Other
Enumeration date
05/28/2007
Last updated
08/22/2020
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