# LEAH BRADY, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ideal Image Dentistry & Spa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295010742
- **Authorized official:** DR. LEAH N BRADY DDS (DENTIST)
- **Authorized official phone:** (701) 667-1933

## Contact information

- **Practice address:** 1008 E MAIN ST, MANDAN, ND 58554-3762
- **Practice address phone:** (701) 667-1933
- **Practice address fax:** (701) 667-2115
- **Mailing address:** 1008 E MAIN ST, MANDAN, ND 58554-3762
- **Mailing address fax:** (701) 667-2115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2070 | ND | Yes |

## Other

- **Enumeration date:** 10/17/2011
- **Last updated:** 10/20/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 40018 | — | ND |