| Brad Podray Orthodontics Llc | |
|
201 S Ankeny Blvd Ankeny IA 50023-3116 | |
| (515) 964-5602 | |
| Not Available |
| Full Name | Brad Podray Orthodontics Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 201 S Ankeny Blvd, Ankeny, Iowa |
| Authorized Official Name and Position | Brad Andrew Podray (OWNER) |
| Authorized Official Contact | 5616992580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brad Podray Orthodontics Llc 201 S Ankeny Blvd Ankeny IA 50023-3116 Ph: (515) 964-5602 | Brad Podray Orthodontics Llc 201 S Ankeny Blvd Ankeny IA 50023-3116 Ph: (515) 964-5602 |
| NPI Number | 1265906127 |
|---|---|
| Provider Enumeration Date | 01/14/2019 |
| Last Update Date | 01/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265906127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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