Individual
DR. JOHN RICHARD BRADBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. D. S.
Contact information
Practice address
650 W BALTIMORE ST, BALTIMORE, MD 21201-1510
(410) 706-7961
Mailing address
650 W BALTIMORE ST, BALTIMORE, MD 21201-1510
(410) 706-7961
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5761
MD
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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