Individual
BRADLEY S. LAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2805 E 29TH ST, JOPLIN, MO 64804-3305
(417) 782-3636
(417) 206-7844
Mailing address
2805 E 29TH ST, JOPLIN, MO 64804-3305
(417) 782-3636
(417) 206-7844
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2007012655
MO
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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