Individual
BRADLEY PAUL STORRS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6837 NORMANDY RD BLDG B, ATTN: CHARLES BERNATOVITZ, FORT BRAGG, NC 28310-0001
(910) 643-2196
Mailing address
69 LONDON DR, FORT BRAGG, NC 28307-1913
(720) 233-7368
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2015020280
MO
Other
Enumeration date
08/17/2015
Last updated
05/19/2020
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