Individual
DR. BLAIR ANDREW BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11671 JOLLYVILLE RD STE 201, AUSTIN, TX 78759-4141
(512) 249-7668
(512) 219-1246
Mailing address
11671 JOLLYVILLE RD STE 201, AUSTIN, TX 78759-4141
(512) 249-7668
(512) 219-1246
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
22027
TX
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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