Organization
MATTHEW B BRADY DDS A PROFESSIONAL LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BRADY (OWNER)
(337) 321-5001
Entity
Organization
Contact information
Practice address
1050 E ADMIRAL DOYLE DR, NEW IBERIA, LA 70560-6711
(337) 321-5001
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
06/20/2023
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