Individual
DR. BRADLEY JOSEPH GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1000 W UNIVERSITY DR STE 101, ROCHESTER, MI 48307-1979
(248) 656-0040
Mailing address
1000 W UNIVERSITY DR STE 101, ROCHESTER, MI 48307-1979
(248) 656-0040
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901021816
MI
Other
Enumeration date
03/08/2016
Last updated
10/04/2024
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