Dr. Marilyn Eugenia Braddock
Prosthodontist
Uss George Washington Cvn 73 Dental Dept. , Box 66
New Island City
, New Island 09550-2873
Dr. Marilyn Eugenia Braddock
Prosthodontist
Uss George Washington Cvn 73 Dental Dept. , Box 66
New Island City
, New Island 09550-2873
(757) 962-4537
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Marilyn Eugenia Braddock
- 5311 Spy Glass Dr
- Norfolk, VA
- Zip : 23518-6305
- Phone : (757) 962-4537
Second Address
- Dr. Marilyn Eugenia Braddock
- Uss George Washington Cvn 73 Dental Dept. , Box 66
- Fpo, AE
- Zip : 09550-2873
- Phone : (757) 962-4537
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | 0401006086 | VA |
National Provider Identifier
| NPI | 1245205863 |
|---|---|
| Provider Name | Dr. Marilyn Eugenia Braddock |
| First Address | Norfolk, VA 23518-6305 |
| Second Address | Fpo, AE 09550-2873 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/02/2006 |
| Last Update Date | 20/04/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.