Individual
DR. BRADLEY L PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
750 KAINS AVE, SAN BRUNO, CA 94066-3432
(650) 588-4255
(650) 873-3153
Mailing address
750 KAINS AVE, SAN BRUNO, CA 94066-3432
(650) 588-4255
(650) 873-3153
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30945
CA
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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