Individual
BRADLEY ARTHUR DITSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2458 E RUSSELL RD, SUITE A, LAS VEGAS, NV 89120-2474
(702) 798-6216
(702) 798-6269
Mailing address
2458 E RUSSELL RD, SUITE A, LAS VEGAS, NV 89120-2474
(702) 798-6216
(702) 798-6269
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2489
NV
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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