Individual
DR. LEE ANN BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
18301 N 79TH AVE, F164, GLENDALE, AZ 85308-8463
(480) 204-9210
Mailing address
18301 N 79TH AVE, F164, GLENDALE, AZ 85308-8463
(480) 204-9210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7734
AZ
1223G0001X
General Practice Dentistry
DN11692
FL
Other
Enumeration date
03/14/2007
Last updated
10/13/2011
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