Individual
DR. BRADLEY J NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
33421 WEBSTER RD E, EATONVILLE, WA 98328-8685
(253) 389-0526
Mailing address
PO BOX 428, EATONVILLE, WA 98328-0428
(253) 389-0526
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61085615
WA
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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