Individual
DR. BRADLEY MICHEL HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3700 W 83RD ST STE 215, PRAIRIE VILLAGE, KS 66208-5120
(913) 381-5292
Mailing address
17297 W 93RD PL, LENEXA, KS 66219-2597
(913) 485-5320
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2020007084
MO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
61569
KS
Other
Enumeration date
07/14/2017
Last updated
11/18/2023
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