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Individual

DR. JESSE CAMPBELL BRADFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
319 S SHARON AMITY RD STE 100, CHARLOTTE, NC 28211-2834
(704) 534-0528
Mailing address
319 S SHARON AMITY RD STE 100, CHARLOTTE, NC 28211-2834
(704) 534-0528

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8780
NC

Other

Enumeration date
07/17/2009
Last updated
01/28/2014
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