Individual
DR. BRADLEY M WOODHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6120 WINKLER RD STE I, FORT MYERS, FL 33919-8192
(239) 481-6433
(239) 481-6455
Mailing address
6120 WINKLER RD STE I, FORT MYERS, FL 33919-8192
(239) 481-6433
(239) 481-6455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 17101
FL
Other
Enumeration date
01/23/2006
Last updated
07/21/2022
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