Individual
BRAD PODRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
456 SCHOOL LN, SUITE 101, HARLEYSVILLE, PA 19438-1715
(215) 513-1551
(215) 513-4255
Mailing address
401 COMMERCE DR, SUITE 108, FORT WASHINGTON, PA 19034-2714
(267) 460-4254
(215) 646-6166
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS038092
PA
Other
Enumeration date
10/04/2010
Last updated
02/19/2013
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