Individual
DR. JAMES EARL BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2001 E 70TH ST, SUITE 301, SHREVEPORT, LA 71105-5328
(318) 798-1525
Mailing address
2001 E 70TH ST, SUITE 301, SHREVEPORT, LA 71105-5328
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
LA3528
LA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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