Organization
BRADLEY A PURCELL D.D.S. M.S. & RYAN M. MIZUMOTO D.M.D., M.S., INC
Active
Other names
SPECTRUM DENTAL & PROSTHODONTICS
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY A PURCELL DDS, MS (OWNER/DENTIST)
(614) 885-4249
Entity
Organization
Contact information
Practice address
55 CAREN AVE STE 270, WORTHINGTON, OH 43085-2515
(614) 888-7012
(614) 888-0284
Mailing address
55 CAREN AVE STE 270, WORTHINGTON, OH 43085-2515
(614) 888-7012
(614) 888-0284
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
15174
MI
1223P0700X
Prosthodontics
22655
IL
Other
Enumeration date
10/25/2012
Last updated
11/05/2020
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