Organization
BRADLEY W. WILKINSON
Active
Other names
Pediatric Dental Specialties
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY W WILKINSON DDS (DENTIST)
(901) 761-5155
Entity
Organization
Contact information
Practice address
5040 SANDERLIN AVE STE 101, MEMPHIS, TN 38117-4374
(901) 761-5155
(901) 761-5130
Mailing address
5040 SANDERLIN AVE STE 101, MEMPHIS, TN 38117-4374
(901) 761-5155
(901) 761-5130
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS005140
TN
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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