Individual
BRADLEY J WILLCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6949 E SHEA BLVD STE 100, SCOTTSDALE, AZ 85254-6146
(480) 998-8073
(480) 867-6648
Mailing address
5830 W THUNDERBIRD RD STE B8-310, GLENDALE, AZ 85306-4654
(623) 521-9120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3886
AZ
Other
Enumeration date
11/24/2008
Last updated
05/05/2023
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