Individual
BRILEY STULTS FRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, RDA
Contact information
Practice address
1272 MARKET ST, DAYTON, TN 37321-1250
(423) 834-9900
(423) 834-9901
Mailing address
71 WOODLAND ST, PIKEVILLE, TN 37367-5431
(423) 619-6649
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
9376
TN
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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