Individual
MRS. JAYMIE ANN BRADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
209 COMMERCE CT, ELKHORN, WI 53121-4371
(262) 723-2900
(262) 723-6360
Mailing address
209 COMMERCE CT, ELKHORN, WI 53121-4371
(262) 723-2900
(262) 723-6360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5913-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391449280018
BLUE CROSS
—
Enumeration date
08/05/2007
Last updated
06/06/2008
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