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1699451203
BRADY MICHAEL JOHNSTON
AUSTELL, GA
NPI
1699451203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN123076)
Enumeration Date
2023-06-27
Last Update Date
2023-06-27
Business Address
BRADY MICHAEL JOHNSTON DDS
3845 MEDICAL PARK DR
AUSTELL, GA 30106-1109
Phone number: 770-727-4470
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Mailing Address
BRADY MICHAEL JOHNSTON DDS
3845 MEDICAL PARK DR
AUSTELL, GA 30106-1109
Phone number: 770-727-4470
Copy
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