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Organization
BRADY DENTAL GROUP, PA
Active
Organization
BRADY DENTAL GROUP, PA
Active
Parent organization
BRADY DENTAL GROUP, PA
Other names
Brady Dental Group, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRADY DENTAL GROUP, PA
Authorized official
DR. SUSAN JOLLIFF DDS (DENTIST)
(325) 597-7441
Entity
Organization
Contact information
Practice address
702 W 17TH ST, BRADY, TX 76825-6936
(325) 597-7441
Mailing address
702 W 17TH ST, BRADY, TX 76825-6936
(325) 597-7441
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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