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Bradford Johnson, DDS
NPI 1164644647 · on the registry since 2007
Practice
- Address
- 801 S Paulina St
Mc 621
Chicago, IL 60612 - Phone
- (312) 355-1661
- Fax
- (312) 355-3864
- Organisation at this address
- Uic College Of Dentistry
Board Of Trustees Of The University Of Illinois
The Board Of Trustees Of The University Of Illinois
University Of Illinois At Chicago College Of Dentistry
Uic College Of Dentistry Oral Pathology Biopsy ServiceInferred from a shared address, not stated in the registry. - Clinicians at this address
- 168
Registry record
- Primary taxonomy
- 1223E0200X
1223E0200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois