Individual
BRAD VERMEULEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1403 N LOOP 336 W STE C, CONROE, TX 77304-3672
(972) 869-3789
Mailing address
2403 LACY LN, CARROLLTON, TX 75006-6514
(972) 869-3789
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29945
TX
Other
Enumeration date
06/13/2014
Last updated
07/18/2022
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