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Individual

DR. MARTHA J BRAID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2801 CIVIC CIRCLE BLVD STE 7, MARION, IL 62959-5276
(618) 998-9868
(618) 998-9870
Mailing address
2801 CIVIC CIRCLE BLVD STE 7, MARION, IL 62959-5276
(618) 998-9868
(618) 998-9870

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
008287
TN
1223P0221X
Pediatric Dentistry
Primary
019-025903
IL

Other

Enumeration date
01/19/2006
Last updated
07/30/2021
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