Individual
DR. LELAND DAN BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
255 N ADAMS, SUITE B, LEBANON, MO 65536
(417) 588-2289
(417) 588-4398
Mailing address
255 N ADAMS, SUITE B, LEBANON, MO 65536
(417) 588-2289
(417) 588-4398
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12275
MO
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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