Individual
CAROLYN BRADFORD DRAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MSD
Contact information
Practice address
8076 CAZENOVIA RD, MANLIUS, NY 13104-9218
(315) 278-0987
Mailing address
8076 CAZENOVIA RD, MANLIUS, NY 13104-9218
(315) 682-5138
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0442000302
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
060507-01
NY
Other
Enumeration date
08/22/2017
Last updated
05/21/2024
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