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Individual
DR. BRAD JASON HARRIS
Active
Individual
DR. BRAD JASON HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DN12915
GA
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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