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Organization
OMNICARE DENTAL ASSOCIATES, P. A.
Active
Organization
OMNICARE DENTAL ASSOCIATES, P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK RAYMOND BRADY DDS (PRESIDENT)
(972) 359-6000
Entity
Organization
Contact information
Practice address
8080 STATE HIGHWAY 121, SUITE 320, MCKINNEY, TX 75070-2901
(972) 359-6000
Mailing address
5068 W PLANO PKWY, SUITE 224, PLANO, TX 75093-4408
(972) 447-0220
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
NULL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/04/2007
Last updated
06/05/2008
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