| Kelli Brady Dds Llc | |
|
180 Old Tappan Rd Bldg 6 Old Tappan NJ 07675-7052 | |
| (201) 768-5553 | |
| (201) 768-7601 |
| Full Name | Kelli Brady Dds Llc |
|---|---|
| Speciality | Dentist |
| Location | 180 Old Tappan Rd, Old Tappan, New Jersey |
| Authorized Official Name and Position | Kelli Brady (OWNER/DENTIST) |
| Authorized Official Contact | 2017685553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Brady Dds Llc 180 Old Tappan Rd Bldg 6 Old Tappan NJ 07675-7052 Ph: (201) 768-5553 | Kelli Brady Dds Llc 180 Old Tappan Rd Bldg 6 Old Tappan NJ 07675-7052 Ph: (201) 768-5553 |
| NPI Number | 1548507643 |
|---|---|
| Provider Enumeration Date | 01/09/2013 |
| Last Update Date | 01/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548507643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22D102398600 (New Jersey) | Primary |
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