Individual
DR. BRADLEY RAY HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2501 BUSH RIDGE DR, LOUISVILLE, KY 40245-5885
(502) 245-3602
(502) 245-3603
Mailing address
2501 BUSH RIDGE DR, LOUISVILLE, KY 40245-5885
(502) 245-3602
(502) 245-3603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12013294A
IN
1223G0001X
General Practice Dentistry
30-022185
OH
1223G0001X
General Practice Dentistry
Primary
8305
KY
Other
Enumeration date
05/08/2007
Last updated
02/12/2021
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