Individual
PATRICK BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
219 DENTAL SCIENCE BLDG S, IOWA CITY, IA 52242-1001
(319) 335-7287
Mailing address
585 LINCOLN AVE, WINNETKA, IL 60093-2351
(847) 446-2245
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19030503
IL
390200000X
Student in an Organized Health Care Education/Training Program
30408
IA
Other
Enumeration date
07/31/2014
Last updated
04/24/2024
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