Individual
BRADLEY JOSEPH PICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2500 S POWER RD STE 105, MESA, AZ 85209-6687
(480) 290-2710
Mailing address
9836 E OSAGE AVE, MESA, AZ 85212-2113
(480) 628-9134
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10119
AZ
Other
Enumeration date
04/16/2018
Last updated
12/21/2021
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