Individual
DR. BRADLEY JAMES KILLEBREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1116 S PURPERA AVE, GONZALES, LA 70737-4361
(225) 647-3577
Mailing address
11439 SPRING CREEK DR, HAMMOND, LA 70403-1919
(985) 981-1040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6746
LA
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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