# BRADLEY TEW, D.D.S., P.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730477431
- **Authorized official:** DR. BRADLEY D TEW D.D.S. (PRESIDENT)
- **Authorized official phone:** (509) 965-9451

## Contact information

- **Practice address:** 121 N 50TH AVE, YAKIMA, WA 98908-2862
- **Practice address phone:** (509) 965-9451
- **Mailing address:** 121 N 50TH AVE, YAKIMA, WA 98908-2862
- **Mailing address phone:** (509) 965-9451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE60164479 | WA | Yes |

## Other

- **Enumeration date:** 07/14/2011
- **Last updated:** 07/14/2011