Individual
DR. BRADY NICHOLAS WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1390 EISENHOWER BLVD, JOHNSTOWN, PA 15904-3216
(814) 535-5244
Mailing address
PO BOX 41, WILMORE, PA 15962-0041
(814) 244-0329
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS043301
PA
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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