Individual
DR. GARY WILLIAM BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1100 1ST AVE NO, ESCANABA, MI 49829
(906) 786-3814
(906) 786-3881
Mailing address
1100 1ST AVE NO, ESCANABA, MI 49829
(906) 786-3814
(906) 786-3881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901009036
MI
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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