Organization
BRADDENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BRADFORD DMD (OWNER)
(334) 467-6095
Entity
Organization
Contact information
Practice address
5075 HIGHWAY 31 UNIT B, CALERA, AL 35040-5165
(334) 467-6095
Mailing address
5075 HIGHWAY 31 UNIT B, CALERA, AL 35040-5165
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5537
AL
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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