Organization
BRADLEY M. WOODHAM, D.M.D., P.A.
Active
Other names
Edgewater Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY WOODHAM DMD (PRESIDENT)
(239) 481-6433
Entity
Organization
Contact information
Practice address
6120 WINKLER RD STE I, FORT MYERS, FL 33919-8192
(239) 481-6433
(239) 481-6455
Mailing address
6120 WINKLER RD STE I, FORT MYERS, FL 33919-8192
(239) 481-6433
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17101
FL
Other
Enumeration date
07/11/2017
Last updated
07/21/2022
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