Individual
DR. TIMOTHY P. BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
140 PUNZALAN ST, C/O GUAM DENTAL ARTS, TAMUNING, GU 96913-3441
(671) 646-8462
(671) 649-8168
Mailing address
140 PUNZALAN ST, C/O GUAM DENTAL ARTS, TAMUNING, GU 96913-3441
(671) 646-8462
(671) 649-8168
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
814
GU
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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