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1003221748
BRYAN DAVID BRAASCH
FORT WAYNE, IN
NPI
1003221748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IN 12012182A)
Enumeration Date
2014-06-20
Last Update Date
2014-06-20
Business Address
Dr. BRYAN DAVID BRAASCH D.D.S.
6821 WOODCREST DR
FORT WAYNE, IN 46815-5570
Phone number: 260-417-4981
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Mailing Address
Dr. BRYAN DAVID BRAASCH D.D.S.
6821 WOODCREST DR
FORT WAYNE, IN 46815-5570
Phone number: 260-417-4981
Copy
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