Individual
BRADFORD MONCRIEF ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13470 N 83RD AVE STE 100, PEORIA, AZ 85381-4148
(623) 412-9600
(623) 412-9700
Mailing address
13470 N 83RD AVE STE 100, PEORIA, AZ 85381-4148
(623) 412-9600
(623) 412-9700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3224
AZ
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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