Individual
CHRISTY L FRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
5810 S 108TH ST, HALES CORNERS, WI 53130-1912
(414) 350-0945
Mailing address
5810 S 108TH ST, HALES CORNERS, WI 53130-1912
(414) 350-0945
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6219-15
WI
Other
Enumeration date
08/29/2007
Last updated
03/25/2019
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