Individual
DR. BRAD N JUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3236 78TH AVE SE STE 106, MERCER ISLAND, WA 98040-3500
(206) 232-5866
(206) 232-5870
Mailing address
8980 SE 54TH ST, MERCER ISLAND, WA 98040-5143
(206) 612-3282
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60067325
WA
1223G0001X
General Practice Dentistry
Primary
DE60067325
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WA 60067325
STATE DENTAL LICENSE
WA
Enumeration date
01/26/2007
Last updated
12/27/2023
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