Marshall, Brady S

Marshall, Brady S is an individual health care provider with primary practice located at 201 E. Orangeburg Avenue Suite C, Modesto CA 95350. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Marshall, Brady S can be contacted via phone (209) 522-5761.

Contact Information

Primary practice address
201 E. Orangeburg Avenue Suite C Modesto CA 95350
Phone: (209) 522-5761
Fax: (209) 522-1051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DDS100578 California

Profile Details

NPI number 1356881163
LBN Legal business name Marshall, Brady S
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2017
Last updated Dec 17th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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