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Individual

DR. ROBERT DAVID BRADBERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1070 WOODLAWN DR NE, STE 250, MARIETTA, GA 30068-4264
(770) 077-8644
(770) 971-7953
Mailing address
1070 WOODLAWN DR NE, STE 250, MARIETTA, GA 30068-4264
(770) 077-8644
(770) 971-7953

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010663
GA

Other

Enumeration date
04/17/2008
Last updated
11/15/2010
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