DR. Bradley R Johnson, D.M.D., M.S.D.

NPI #1154601839 in Mentor, Ohio

Provider Information

NPI Number: 1154601839
Entity Type: Individual
Name: DR. Bradley R Johnson, D.M.D., M.S.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D., M.S.D.
Enumeration Date: Aug 25, 2011
Last Updated: Dec 16, 2020

Practice Location

Address: 7288 MENTOR AVE
City: Mentor
State: Ohio
ZIP Code: 44060-7578
Phone: (440) 946-0088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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