Individual
MRS. MADALYN JOAN BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
636 BROADWAY ST NE, MINNEAPOLIS, MN 55413-2151
(612) 746-1530
Mailing address
1212 YALE PL APT C, MINNEAPOLIS, MN 55403-1911
(952) 270-7982
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
H11069
MN
125J00000X
Dental Therapist
Primary
DT141
MN
Other
Enumeration date
07/14/2021
Last updated
06/26/2023
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