Individual
DR. BRADY ROBBINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
559 W. GRAND BLVD, DETROIT, MI 48216-2200
(313) 499-4775
Mailing address
17894 VIOLET DR, SOUTHFIELD, MI 48076-6200
(701) 520-2874
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601039
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2021
Last updated
08/23/2021
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