Individual
DR. JASON WAYNE BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3967 E LEAH CT, APT 101, GILBERT, AZ 85234-0019
(858) 752-4622
(866) 329-8262
Mailing address
3967 E LEAH CT, APT 101, GILBERT, AZ 85234-0019
(858) 752-4622
(866) 329-8262
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D008375
AZ
1223D0004X
Dental Anesthesiology
30599
TX
1223D0004X
Dental Anesthesiology
3827-15
MS
1223D0004X
Dental Anesthesiology
60944
CA
1223D0004X
Dental Anesthesiology
Primary
D008375
AZ
Other
Enumeration date
06/21/2012
Last updated
09/03/2015
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