Individual
BRADLEY SCOTT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2901 CASSIDY RD, EL PASO, TX 79916-3502
(915) 742-6072
Mailing address
2901 CASSIDY RD, EL PASO, TX 79916-3502
(915) 742-6072
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38896
TX
1223G0001X
General Practice Dentistry
9917
SC
Other
Enumeration date
07/06/2021
Last updated
04/11/2023
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