Individual
MR. JOSEPH BRADLEY GRANICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
15910 W COMPANY LAKE RD, HAYWARD, WI 54843-5320
(715) 934-2224
(715) 934-5740
Mailing address
15910 W COMPANY LAKE RD, HAYWARD, WI 54843-5320
(715) 934-2224
(715) 934-5740
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11027-16
WI
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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