Individual
BRADY S MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
201 E. ORANGEBURG AVENUE, SUITE C, MODESTO, CA 95350
(209) 522-5761
(209) 522-1051
Mailing address
1220 LA MESA ST., ESCALON, CA 95320
(209) 838-7191
(209) 522-1051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS100578
CA
Other
Enumeration date
02/27/2017
Last updated
12/17/2024
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