NPI 1154583813

Dianne Elliott Braddock, DAII

Practitioner Dental Assistant Statesville, NC

Practice location

Address: 318 Turnersburg Hwy, Statesville, NC 28625-2798
Phone: (704) 878-5300

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 126800000X (NC)

Other Dental Assistant providers in North Carolina →

Registry record

NPI: 1154583813
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jun 2008
Record last updated: 25 Jun 2008

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.