Organization
MARTHA JO BRAID DMD LLC
Active
Parent organization
MARTHA JO BRAID DMD LLC
Other names
Dental Care for Kids
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARTHA JO BRAID DMD LLC
Authorized official
PAM HARDIEK (INSURANCE/CREDENTIALING)
(210) 540-5100
Entity
Organization
Contact information
Practice address
2801-7 CIVIC CIRCLE BLVD, MARION, IL 62959
(618) 998-9868
(618) 998-9870
Mailing address
2801-7 CIVIC CIRCLE BLVD, MARION, IL 62959
(618) 998-9868
(618) 998-9870
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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