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Individual

DR. STEPHEN W BRADFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
11380 PROSPERITY FARMS RD, SUITE 117, PALM BEACH GARDENS, FL 33410-3474
(561) 694-3006
(561) 625-1732
Mailing address
11380 PROSPERITY FARMS RD, SUITE 117, PALM BEACH GARDENS, FL 33410-3474
(561) 694-3006
(561) 625-1732

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN12129
FL

Other

Enumeration date
12/13/2007
Last updated
12/13/2007
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