Individual
BRADY SKYTLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1142 W CAPITOL AVE, BISMARCK, ND 58501-1306
(701) 222-8760
Mailing address
1142 W CAPITOL AVE, BISMARCK, ND 58501-1306
(701) 222-8760
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2473
ND
Other
Enumeration date
11/29/2023
Last updated
07/29/2025
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