Individual
DR. THOMAS LEE BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
754 S MAIN ST STE 7, SAINT GEORGE, UT 84770-5517
(435) 652-1605
(435) 652-2046
Mailing address
754 S MAIN ST STE 7, SAINT GEORGE, UT 84770-5517
(435) 652-1605
(435) 652-2046
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
275219
UT
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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