BRENT THOMAS BRADY

BOISE, ID
NPI1265527089
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  d1698)
Enumeration Date2006-10-04
Last Update Date2007-07-08
Business Address
Dr. BRENT THOMAS BRADY dds
210 W MALLARD , SUITE E
BOISE, ID 83706
Phone number: 208-344-8363
Mailing Address
Dr. BRENT THOMAS BRADY dds
210 W MALLARD , SUITE E
BOISE, ID 83706
Phone number: 208-344-8363