Individual
DR. JOHN JOSEPH BRADY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.D.
Contact information
Practice address
28 E BROAD ST, W HAZLETON, PA 18202-3810
(570) 455-5011
Mailing address
28 E BROAD ST, W HAZLETON, PA 18202-3810
(570) 455-5011
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS022227L
PA
Other
Enumeration date
11/12/2006
Last updated
07/08/2007
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