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Individual
DR. BRADLEY ROSS CARN
Active
Individual
DR. BRADLEY ROSS CARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., MD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2018008864
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D5998
AL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2018228864
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/11/2012
Last updated
12/12/2022
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