Individual
DR. BRADLEY S HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2247 N LOOP 336 W, CONROE, TX 77304-3520
(936) 756-0659
Mailing address
12802 LAKE ISLAND CIR, MONTGOMERY, TX 77356-5680
(713) 703-0737
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
24481
TX
Other
Enumeration date
06/03/2009
Last updated
01/07/2013
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