Organization · Type 2 NPI
Braden Dental Center SC
Dental Clinic/Center · Lake Geneva, WI
NPI number
1679793632
Active
Practice location
101 Broad St, Ste 203
Lake Geneva, WI 53147
Fax (262) 249-0140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 2499 (WI) |
Dental Clinic/Center: Definition to come...
5 other providers at this address
- Duanne Lafrenz, MSW, LCSWClinical Social Worker Lake Geneva, WI NPI 1124057294
- Henry A. Sibbing, J.D., M.S.Professional Counselor Lake Geneva, WI NPI 1477583193
- John Edward Noyer, MS LPCProfessional Counselor Lake Geneva, WI NPI 1871725713
- Mark Thomas Braden, DDSGeneral Practice Dentistry Lake Geneva, WI NPI 1780833475
- Ryan Thomas BradenGeneral Practice Dentistry Lake Geneva, WI NPI 1710136585
About NPI 1679793632
Braden Dental Center SC's National Provider Identifier is 1679793632, issued on May 1, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lake Geneva, WI. The record was last updated on Sep 9, 2015.