Organization
CHARLES W BRADLEY DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES WESLEY BRADLEY DDS (PRESIDENT)
(214) 378-7930
Entity
Organization
Contact information
Practice address
8315 WALNUT HILL LN, 200, DALLAS, TX 75231-4218
(214) 378-7930
Mailing address
8315 WALNUT HILL LN, 200, DALLAS, TX 75231-4218
(214) 378-7930
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13064
TX
Other
Enumeration date
04/16/2007
Last updated
08/22/2020
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