Organization
TIMOTHY P BRADY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY P BRADY (OWNER)
(671) 646-8462
Entity
Organization
Contact information
Practice address
140 PUNZALAN ST, TAMUNING, GU 96913-3441
(671) 646-8462
Mailing address
140 PUNZALAN ST, TAMUNING, GU 96913-3441
(671) 646-8462
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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