BRAD YOUNG BRYAN

JACKSON, MS
NPI1790899912
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MS  3347-05)
Enumeration Date2006-08-17
Last Update Date2015-03-31
Business Address
Dr. BRAD YOUNG BRYAN D.M.D.
4463 N STATE ST
JACKSON, MS 39206-5306
Phone number: 601-714-2908
Mailing Address
Dr. BRAD YOUNG BRYAN D.M.D.
4463 N STATE ST
JACKSON, MS 39206-5306
Phone number: 601-946-5908