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Organization

BRADFORD FAMILY DENTISTRY, PL

Active
Other names
Bradford Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM MARCHESE D.M.D., R.PH. (PARTNER)
(904) 964-7501
Entity
Organization

Contact information

Practice address
315 WEST CALL STREET, STARKE, FL 32091-3113
(904) 964-7501
(904) 964-7503
Mailing address
315 W CALL ST, STARKE, FL 32091-3113
(904) 964-7501
(904) 964-7503

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 07445
FL

Other

Enumeration date
06/24/2005
Last updated
09/21/2015
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