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MARILYN E BRADDOCK, DDS, MS, MHA – NPI #1245205863
Prosthodontics

NPI Profile for Dr MARILYN E BRADDOCK in FPO, AE.

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Contact Information

MARILYN E BRADDOCK, DDS, MS, MHA
USS GEORGE WASHINGTON CVN 73
DENTAL DEPT. , BOX 66
FPO, AE  09550-2873
 Phone: 757-962-4537
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Prosthodontics

 1223P0700X
Indicates primary specialty

NPI Profile & details for MARILYN E BRADDOCK · (Female)

NPI # 1245205863
Status Active
Credentials DDS, MS, MHA
Entity Individual
Enumeration date 02/17/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0401006086
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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