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Individual

DR. SETH R BRADBURY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2639
(614) 722-5651
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2639
(614) 722-5651

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
30.025698
OH
1223P0221X
Pediatric Dentistry
Primary
30.025698
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0345174
OH
Enumeration date
02/05/2018
Last updated
07/31/2019
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