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Individual

DR. RICHARD BRIAN BRADSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
4411 BROWN RIDGE TER, MEDFORD, OR 97504-9139
(541) 200-6747
Mailing address
3751 CALLE VISTA DR, MEDFORD, OR 97504-9464
(801) 367-1503
(801) 367-1503

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10022
OR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/25/2012
Last updated
09/11/2024
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