Individual
HOLLY A BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1669 E MAIN ST, DANVILLE, IN 46122-9468
(317) 745-5173
(317) 745-5023
Mailing address
1669 E MAIN ST, DANVILLE, IN 46122-9468
(317) 745-5173
(317) 745-5023
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012727A
IN
Other
Enumeration date
06/14/2017
Last updated
07/21/2022
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