Individual
REBECCA ANNE BRADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2460 SAMPSON ST, GREAT LAKES, IL 60088
(832) 291-9848
Mailing address
1810 CHESTNUT GROVE LN, KINGWOOD, TX 77345-1910
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40819
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/20/2023
Last updated
03/28/2025
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