Individual
DR. BRADEN C COMSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
333 S MAIN ST STE 110, KETCHUM, ID 83340-9410
(208) 272-0075
Mailing address
333 S MAIN ST STE 110, KETCHUM, ID 83340-9410
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-5068
ID
Other
Enumeration date
08/02/2019
Last updated
02/27/2023
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