Individual
DR. BRADLEY JOSEPH SANDVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16515 S 40TH ST, SUITE 101, PHOENIX, AZ 85048-0558
(480) 759-2000
(480) 759-2058
Mailing address
16515 S 40TH ST, SUITE 101, PHOENIX, AZ 85048-0558
(480) 759-2000
(480) 759-2058
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5676
AZ
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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