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Individual

DR. WILLIAM HENRY BRAGDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
155 A HALTON ROAD, GREENVILLE, SC 29607
(864) 289-9752
(864) 297-9053
Mailing address
155 A HALTON RD., GREENVILLE, SC 29607
(864) 289-9752
(864) 297-9053

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2313
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
486977
UNITED CONCORDIA
Enumeration date
02/22/2007
Last updated
07/21/2009
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