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Individual

DR. BRADLEY ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
6130 W ATLANTIC BLVD, MARGATE, FL 33063-5123
(954) 973-0990
(954) 973-1794
Mailing address
4456 WOODFIELD BLVD, BOCA RATON, FL 33434-5310
(561) 998-7990
(561) 998-8441

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN11682
FL

Other

Enumeration date
08/29/2006
Last updated
07/08/2007
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