Individual
DR. C. BRADLEY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1017 EXECUTIVE DR STE 102, HIXSON, TN 37343-7911
(423) 876-0408
(423) 876-0410
Mailing address
1017 EXECUTIVE DR STE 102, HIXSON, TN 37343-7911
(423) 876-0408
(423) 876-0410
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
7984
TN
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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