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1124203286
BRAD JASON HARRIS
MARIETTA, GA
NPI
1124203286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
204E00000X Oral & Maxillofacial Surgery
(Licence: GA DN12915)
Enumeration Date
2008-01-08
Last Update Date
2008-01-08
Business Address
Dr. BRAD JASON HARRIS D.M.D
55 WHITCHER ST NE SUITE 140
MARIETTA, GA 30060-1155
Phone number: 770-422-7630
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Mailing Address
Dr. BRAD JASON HARRIS D.M.D
345 PARKWAY 575 SUITE 203
WOODSTOCK, GA 30188-3897
Phone number: 770-924-4095
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