Individual
COLBY TRENTON BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
11380 PROSPERITY FARMS RD STE 117, PALM BEACH GARDENS, FL 33410-3464
(561) 694-3006
Mailing address
12812 SOUTH SHORE DRIVE, PALM BEACH GARDENS, FL 33410
(561) 339-9948
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26182
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
26182
FL
Other
Enumeration date
06/29/2021
Last updated
10/23/2024
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