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Organization

ERRON S BRADY DMD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERRON SCOTT BRADY DMD (OWNER)
(704) 321-0414
Entity
Organization

Contact information

Practice address
11030 GOLF LINKS DR, SUITE 201, CHARLOTTE, NC 28277-8009
(704) 321-0414
(704) 321-0217
Mailing address
11030 GOLF LINKS DR, SUITE 201, CHARLOTTE, NC 28277-8009
(704) 321-0414
(704) 321-0217

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7411
NC
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89902HR
NC
Enumeration date
05/15/2008
Last updated
09/09/2021
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