Individual
DR. CHARLES WESLEY BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8315 WALNUT HILL LN, SUITE 200, DALLAS, TX 75231-4218
(214) 378-7930
Mailing address
8315 WALNUT HILL LN, SUITE 200, DALLAS, TX 75231-4218
(214) 378-7930
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
TX13064
TX
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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