Individual
DR. BRADY HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2105 W KEARNEY ST STE A, SPRINGFIELD, MO 65803-1666
(417) 862-2468
Mailing address
2105 W KEARNEY ST STE A, SPRINGFIELD, MO 65803-1666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2021019820
MO
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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