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Individual

DR. NORMAN CHAD BARDSLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
8851 N 56TH ST, TEMPLE TERRACE, FL 33617-6203
(813) 381-5628
Mailing address
8851 N 56TH ST, TEMPLE TERRACE, FL 33617-6203

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
DEN-9692
CO
1223P0300X
Periodontics
Primary
DN17899
FL

Other

Enumeration date
04/10/2008
Last updated
05/28/2015
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