Individual
BRADLEY JOSEPH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
238 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 524-4880
(816) 524-2868
Mailing address
238 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 524-4880
(816) 524-2868
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15223
MO
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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