Bradley Johnson D.m.d., M.s.d., LLC

NPI #1710573548 in Mentor, Ohio

Provider Information

NPI Number
1710573548
Entity Type
Organization
Organization Name
Bradley Johnson D.m.d., M.s.d., LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 16, 2020
Last Updated
Dec 16, 2020

Practice Location

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

Authorized Official

Name
BRADLEY R JOHNSON, D.M.D, M.S.D.
Title
ORTHODONTIST
Phone
(440) 946-0088

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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