Individual
DR. CLIFFORD JOHN BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
801 S HAM LANE, SUITE D, LODI, CA 95242
(209) 368-4141
(209) 368-7450
Mailing address
801 S HAM LANE, SUITE D, LODI, CA 95242
(209) 368-4141
(209) 368-7450
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25482
CA
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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