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Organization
KELLI BRADY DDS LLC
Active
Organization
KELLI BRADY DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLI BRADY D.D.S. (OWNER/DENTIST)
(201) 768-5553
Entity
Organization
Contact information
Practice address
180 OLD TAPPAN RD, BLDG 6, OLD TAPPAN, NJ 07675-7052
(201) 768-5553
(201) 768-7601
Mailing address
180 OLD TAPPAN RD, BLDG 6, OLD TAPPAN, NJ 07675-7052
(201) 768-5553
(201) 768-7601
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22D102398600
NJ
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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