JOSEPH BRADLEY GRANICA

HAYWARD, WI
NPI1952683609
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WI  11027-16)
Enumeration Date2011-09-19
Last Update Date2011-09-19
Business Address
Mr. JOSEPH BRADLEY GRANICA RDH
15910 W COMPANY LAKE RD
HAYWARD, WI 54843-5320
Phone number: 715-934-2224
Mailing Address
Mr. JOSEPH BRADLEY GRANICA RDH
15910 W COMPANY LAKE RD
HAYWARD, WI 54843-5320
Phone number: 715-934-2224