Individual
DR. BRENT A BRADFORD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS, PC
Contact information
Practice address
5100 W TAFT RD, SUITE 4N, LIVERPOOL, NY 13088-3807
(315) 458-8844
Mailing address
5100 W TAFT RD, SUITE 4N, LIVERPOOL, NY 13088-3807
(315) 458-8844
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048823
NY
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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