Organization
BRADLEY TEW, D.D.S., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY D TEW D.D.S. (PRESIDENT)
(509) 965-9451
Entity
Organization
Contact information
Practice address
121 N 50TH AVE, YAKIMA, WA 98908-2862
(509) 965-9451
Mailing address
121 N 50TH AVE, YAKIMA, WA 98908-2862
(509) 965-9451
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE60164479
WA
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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