Individual
PATRICK TRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1061 HARMON AVE, 1061 HARMON AVENUE, FORT STEWART, GA 31314-5641
(912) 435-7010
(912) 767-5425
Mailing address
1061 HARMON AVE, USA DENTAL HEALTH ACTIVITY, FORT STEWART, GA 31314-5641
(912) 435-7010
(912) 767-5425
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22144
FL
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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