Individual
BRADLEY GIRDWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4030 SMITH RD STE 110, CINCINNATI, OH 45209-1937
(513) 631-8920
Mailing address
100 ROUGH WAY UNIT 10, LEBANON, OH 45036-7914
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30026284
OH
Other
Enumeration date
03/25/2019
Last updated
02/26/2021
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