MR. Joseph Bradley Granica, RDH

NPI #1952683609 in Hayward, Wisconsin

Provider Information

NPI Number: 1952683609
Entity Type: Individual
Name: MR. Joseph Bradley Granica, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Sep 19, 2011
Last Updated: Sep 19, 2011

Practice Location

Address: 15910 W COMPANY LAKE RD
City: Hayward
State: Wisconsin
ZIP Code: 54843-5320
Phone: (715) 934-2224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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