Organization
DENNIS L BRADSHAW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS L BRADSHAW DDS (PRESIDENT)
(509) 547-9549
Entity
Organization
Contact information
Practice address
4403 W COURT ST, SUITE A, PASCO, WA 99301-2879
(509) 547-9549
(509) 547-6604
Mailing address
4403 W COURT ST, SUITE A, PASCO, WA 99301-2879
(509) 547-9549
(509) 547-6604
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6183
WA
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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