Individual
DR. BRADFORD WAYNE TINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3013 E RENNER RD. STE 100, RICHARDSON, TX 75082
(972) 231-3013
Mailing address
3013 E RENNER RD. STE 100, RICHARDSON, TX 75082
(972) 231-3013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27927
TX
1223G0001X
General Practice Dentistry
DE015921
MO
Other
Enumeration date
09/27/2005
Last updated
07/15/2024
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