Individual
BRADLEY CHRISTOPHER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5212 W BROAD ST, COLUMBUS, OH 43228-1642
(614) 878-3636
Mailing address
5212 W BROAD ST, COLUMBUS, OH 43228-1642
(614) 878-3636
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.024467
OH
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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