Individual
DR. BRADLEY MARK PINKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
549 HEALTH BLVD, DAYTONA BEACH, FL 32114
(386) 252-6438
Mailing address
549 HEALTH BLVD, DAYTONA BEACH, FL 32114-1493
(386) 252-6438
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
150892
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
ME135636
FL
Other
Enumeration date
06/22/2012
Last updated
05/19/2020
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