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Individual

BRAD GAYNIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
824 E REDD RD STE 1-A, EL PASO, TX 79912
(915) 581-8152
Mailing address
824 E REDD RD STE 1-A, EL PASO, TX 79912-7262
(915) 581-8152

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
33434
TX

Other

Enumeration date
07/09/2010
Last updated
08/06/2018
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