Individual
BRADLEY IWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8614 S BRAESWOOD BLVD, HOUSTON, TX 77031-1301
(713) 405-3499
Mailing address
12803 PALEO CT, SUGAR LAND, TX 77478-2177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40151
TX
Other
Enumeration date
08/14/2023
Last updated
05/16/2024
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