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1154601839
BRADLEY R JOHNSON
MENTOR, OH
NPI
1154601839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: VA 0401413320)
Enumeration Date
2011-08-25
Last Update Date
2020-12-16
Business Address
Dr. BRADLEY R JOHNSON D.M.D., M.S.D.
7288 MENTOR AVE
MENTOR, OH 44060-7578
Phone number: 440-946-0088
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Mailing Address
Dr. BRADLEY R JOHNSON D.M.D., M.S.D.
577 STERNBERG AVE HQ US ARMY DENTAL ACTIVITY
FORT EUSTIS, VA 23604-1526
Phone number: 757-314-7944
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