Organization
BRADLEY R. HARMON, DDS, PLC
Active
Other names
Harmon Dental Center at Lake Forest
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY R. HARMON D.D.S. (MANAGER)
(614) 352-3050
Entity
Organization
Contact information
Practice address
2501 BUSH RIDGE DRIVE, LOUISVILLE, KY 40245
(614) 352-3050
Mailing address
2501 BUSH RIDGE DRIVE, LOUISVILLE, KY 40245
(614) 352-3050
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8305
KY
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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