Organization
LEE ANN BRADY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE BRADY DMD (PRESIDENT)
(623) 939-4777
Entity
Organization
Contact information
Practice address
18301 N 79TH AVE, SUITE F164, GLENDALE, AZ 85308-8463
(623) 939-4777
Mailing address
18301 N 79TH AVE, SUITE F164, GLENDALE, AZ 85308-8463
(623) 939-4777
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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