Individual
BRADLEY MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1865 COOLIDGE HWY, BERKLEY, MI 48072-3042
(248) 398-5050
Mailing address
7300 OLD MILL RD, BLOOMFIELD HILLS, MI 48301-3936
(248) 719-3384
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600202
MI
1223G0001X
General Practice Dentistry
2901600202
MI
Other
Enumeration date
07/31/2019
Last updated
07/14/2020
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