Brady Carlen, DDS

NPI #1992320915 in Pocatello, Idaho

Provider Information

NPI Number: 1992320915
Entity Type: Individual
Name: Brady Carlen, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 15, 2020
Last Updated: Jun 15, 2020

Practice Location

Address: 921 S 8TH AVE STOP 8088
City: Pocatello
State: Idaho
ZIP Code: 83209-0002
Phone: (208) 282-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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