Individual
DR. JOHN DAVID BRADFORD II
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2010 W CHESTER PIKE, SUITE 128, HAVERTOWN, PA 19083-2700
(610) 449-2100
(610) 449-9415
Mailing address
2010 W CHESTER PIKE, SUITE 128, HAVERTOWN, PA 19083-2700
(610) 449-2100
(610) 449-9415
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS-027005-L
PA
Other
Enumeration date
06/01/2006
Last updated
07/08/2007
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