Organization
OMNICARE DENTAL ASSOCIATES, P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK RAYMOND BRADY DDS (PRESIDENT)
(972) 359-6000
Entity
Organization
Contact information
Practice address
8080 STATE HIGHWAY 121, SUITE 320, MCKINNEY, TX 75070-2901
(972) 359-6000
Mailing address
5068 W PLANO PKWY, SUITE 224, PLANO, TX 75093-4408
(972) 447-0220
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/04/2007
Last updated
06/05/2008
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