Individual
RYAN BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
104 S WALTON BLVD, BENTONVILLE, AR 72712-5747
(479) 273-3757
Mailing address
1201 SW WILLOW BEND AVE, BENTONVILLE, AR 72713-7977
(630) 696-0000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
32495
TX
122300000X
Dentist
Primary
4464
AR
Other
Enumeration date
10/25/2016
Last updated
12/31/2020
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