Individual
DR. BRADY HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6492 RONALD REAGAN DR, LAKE ST LOUIS, MO 63367-2657
(636) 626-2071
Mailing address
6492 RONALD REAGAN DR, LAKE ST LOUIS, MO 63367-2657
(636) 626-2071
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2024021097
MO
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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