Individual provider · Type 1 NPI
Marilyn Eugenia Braddock, DDS, MS, MHA
Prosthodontics · Fpo, AE
NPI number
1245205863
Active
Practice location
Uss George Washington Cvn 73, Dental Dept. , Box 66
Fpo, AE 09550-2873
Mailing address
5311 Spy Glass Dr
Norfolk, VA 23518-6305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics Primary | 1223P0700X | 0401006086 (VA) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Another provider at this address
Other prosthodontics providers in Fpo
About NPI 1245205863
Marilyn Eugenia Braddock, DDS, MS, MHA's National Provider Identifier is 1245205863, issued on Feb 17, 2006. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Fpo, AE. The record was last updated on Jul 13, 2026.