Individual
DR. MARK A BRAASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
515 HIDEAWAY CIR, SANTA ROSA BEACH, FL 32459-6774
(402) 578-8188
Mailing address
515 HIDEAWAY CIR, SANTA ROSA BEACH, FL 32459-6774
(402) 578-8188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10637
CO
122300000X
Dentist
6475
NE
122300000X
Dentist
Primary
DTP840
FL
Other
Enumeration date
10/20/2005
Last updated
02/12/2025
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