NPI 1003221748

Bryan David Braasch, DDS

Practitioner Dentist Fort Wayne, IN

Practice location

Address: 6821 Woodcrest Dr, Fort Wayne, IN 46815-5570
Phone: (260) 417-4981

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 12012182A (IN)

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Registry record

NPI: 1003221748
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 2014
Record last updated: 20 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.