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Individual

DR. BRADFORD C WASHINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1851 7TH AVE, NEW YORK, NY 10026-3634
(212) 866-9800
(212) 866-9801
Mailing address
1851 7TH AVE, NEW YORK, NY 10026-3634
(212) 866-9800
(212) 866-9801

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
056598
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03610515
NY
Enumeration date
06/07/2013
Last updated
03/17/2014
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