Individual
DR. MARK F BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
24 S OLIVE ST, WACONIA, MN 55387-1404
(952) 442-2518
(952) 442-5040
Mailing address
24 S OLIVE ST, WACONIA, MN 55387-1404
(952) 442-2518
(952) 442-5040
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10725
MN
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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