| NPI | 1144229709 |
|---|---|
| Other Name | BRADY GARD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: NV 5736) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ D5523) |
| Enumeration Date | 2005-07-17 |
| Last Update Date | 2016-04-24 |