| NPI | 1861790461 |
|---|---|
| Other Name | JOE BRAUD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: LA 6019) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: LA 6019) |
| Enumeration Date | 2011-03-05 |
| Last Update Date | 2011-10-27 |