Individual
BRAEDEN MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
821 WESTWOOD DR, SEDALIA, MO 65301-2102
(660) 826-4774
Mailing address
305 W MAIN ST, SEDALIA, MO 65301-3821
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
PENDING
MO
Other
Enumeration date
07/10/2024
Last updated
01/08/2025
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