Most Relevant Information
Provider Data
| NPI Number: | 1003434044 |
| Provider Name: | BRAYDEN MICHAEL FLAKE |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 11932 |
Most Important Dates
| Enumeration Date: | 07/07/2020 |
| Last Updated: | 07/07/2020 |
Provider Practice Location
408 E COLONIAL AVE
ELIZABETH CITY
NC
279094363
Practice Location Phone/Fax
| Phone: | 2523354341 |
| Fax: |
Provider Mailing Location
408 E COLONIAL AVE
ELIZABETH CITY
NC
279094363
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |