Individual
BRADNER J LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12610 WEST SILVERBELL RD, MARANA, AZ 85653
(520) 616-4562
(510) 682-3548
Mailing address
12325 E SUTTER MILL ST, TUCSON, AZ 85749
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4597
AZ
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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