Organization
SIMMONDS,BRADY&LOI ORAL AND MAXILLOFACIAL SURGERY AND IMPLANT SPECIALI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN SIMMONDS-BRADY DDS (OWNER)
(315) 253-8408
Entity
Organization
Contact information
Practice address
19 E GENESEE ST, AUBURN, NY 13021-4058
(315) 253-8408
(315) 258-8136
Mailing address
19 E GENESEE ST, AUBURN, NY 13021-4058
(315) 253-8408
(315) 258-8136
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02366278
—
NY
Enumeration date
07/22/2006
Last updated
08/22/2020
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