Individual
DR. DENNIS LYLE BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D D S
Contact information
Practice address
4403 W COURT ST, SUITE A, PASCO, WA 99301-2879
(509) 547-9549
(509) 547-6604
Mailing address
7405 W GRANDRIDGE BLVD STE A, KENNEWICK, WA 99336-6708
(509) 547-9549
(509) 547-6604
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6183
WA
1223G0001X
General Practice Dentistry
Primary
DE00006183
WA
Other
Enumeration date
02/23/2007
Last updated
04/28/2022
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