Individual
YETUNDE BRAITHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
520 S 9TH ST STE A, RICHMOND, IN 47374-6230
(765) 935-5390
(765) 935-5392
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014212A
IN
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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