Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | DS017402L | PA |
NPI | 1033469770 |
---|---|
Provider Name | Dr. Daniel Edward Braun |
First Address | Huntingdon Valley, PA 19006-4059 |
Second Address | Huntingdon Valley, PA 19006-4059 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2012 |
Last Update Date | 10/09/2012 |