Brad Podray Orthodontics LLC

NPI #1265906127 in Ankeny, Iowa

Provider Information

NPI Number: 1265906127
Entity Type: Organization
Organization Name: Brad Podray Orthodontics LLC
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Jan 14, 2019
Last Updated: Jan 14, 2019

Practice Location

Address: 201 S ANKENY BLVD
City: Ankeny
State: Iowa
ZIP Code: 50023-3116
Phone: (515) 964-5602

Authorized Official

Name: BRAD ANDREW PODRAY, DMD
Title: OWNER
Phone: (561) 699-2580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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