Individual
ALFRED GWINN BRADFORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2522 W COMMERCE ST, SAN ANTONIO, TX 78207
(210) 225-4867
(210) 225-5643
Mailing address
3510 MARYMONT, SAN ANTONIO, TX 78217
(210) 654-6752
(210) 946-0618
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08923
TX
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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