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Organization

JESSE C. BRADFORD, D.D.S., P.L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JESSE C BRADFORD D.D.S. (PRESIDENT)
(704) 364-8685
Entity
Organization

Contact information

Practice address
319 S SHARON AMITY RD STE 100, CHARLOTTE, NC 28211-2834
(704) 364-8685
(704) 364-8632
Mailing address
319 S SHARON AMITY RD STE 100, CHARLOTTE, NC 28211-2834
(704) 364-8685
(704) 364-8632

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8780
NC

Other

Enumeration date
02/02/2014
Last updated
02/02/2014
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