Individual
DR. KIM BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
16800 W 12 MILE RD STE 103, SOUTHFIELD, MI 48076-6335
(248) 443-0333
(248) 443-0913
Mailing address
16800 W 12 MILE RD STE 103, SOUTHFIELD, MI 48076-6335
(248) 443-0333
(248) 443-0913
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15201
MI
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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