Individual
DR. DAMON G BRADFORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2005 FORSYTHE AVE, MONROE, LA 71201
(318) 388-2630
(318) 322-4537
Mailing address
2005 FORSYTHE AVE, MONROE, LA 71201
(318) 388-2630
(318) 322-4537
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2792
LA
Other
Enumeration date
04/09/2007
Last updated
03/31/2016
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