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Individual

DR. BRADLEY N SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
11244 W 135TH ST, OVERLAND PARK, KS 66221-9800
(913) 897-6950
Mailing address
15218 W 132ND PL, OLATHE, KS 66062-1590
(913) 254-1433

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
549
KS

Other

Enumeration date
07/27/2006
Last updated
07/08/2007
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