Brady, Dara T

Brady, Dara T is an individual health care provider with primary practice located at 6226 14Th Ave , Kenosha WI 53143-4413. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Brady, Dara T can be contacted via phone (262) 656-0044.

Contact Information

Primary practice address
6226 14Th Ave Kenosha WI 53143-4413
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 6848-16 Wisconsin

Profile Details

NPI number 1225312473
LBN Legal business name Brady, Dara T
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2011
Last updated Oct 6th, 2011 - about 14 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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