Individual
CHRISTABELLE E BRAAKSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
2202 S PARK ST, MADISON, WI 53713-1916
(608) 443-5482
(608) 443-5534
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019029549
IL
122300000X
Dentist
Primary
1001037
WI
Other
Enumeration date
07/23/2013
Last updated
05/04/2021
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