Individual
BRADFORD HUGH DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
801 SOUTH HAM LANE, SUITE L, LODI, CA 95242-7502
(209) 334-0630
(209) 334-0541
Mailing address
801 SOUTH HAM LANE, SUITE L, LODI, CA 95242-7502
(209) 334-0630
(209) 334-0541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
32821
CA
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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