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Individual

BRADLEY WAYNE COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2338 HIGHWAY 62 W, MOUNTAIN HOME, AR 72653-6184
(870) 424-4670
(870) 425-4764
Mailing address
2338 HIGHWAY 62 W, MOUNTAIN HOME, AR 72653-6184
(870) 424-4670
(870) 425-4674

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3663
AR

Other

Enumeration date
06/09/2008
Last updated
08/09/2023
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