Organization
BRADY S. MARSHALL DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA HUTCHISON (OPERATIONS MANAGER)
(209) 838-7191
Entity
Organization
Contact information
Practice address
201 E ORANGEBURG AVE STE C, MODESTO, CA 95350-5355
(209) 224-4263
Mailing address
201 E ORANGEBURG AVE STE C, MODESTO, CA 95350-5355
(209) 224-4263
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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