Individual
DR. BRAD MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
726 N GREENFIELD RD STE 126, GILBERT, AZ 85234-5063
(480) 813-8890
Mailing address
726 N GREENFIELD RD STE 126, GILBERT, AZ 85234-5063
(480) 599-0074
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008510
AZ
Other
Enumeration date
05/11/2012
Last updated
01/17/2020
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