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1518931260
BRADLEY E JOHNSON
BEND, OR
NPI
1518931260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR 6277)
Enumeration Date
2006-02-16
Last Update Date
2007-07-09
Business Address
Dr. BRADLEY E JOHNSON DMD
1016 NW NEWPORT AVE
BEND, OR 97701-1618
Phone number: 541-389-1107
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Mailing Address
Dr. BRADLEY E JOHNSON DMD
1016 NW NEWPORT AVE
BEND, OR 97701-1618
Phone number: 541-389-1107
Copy
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