Individual
BRADYN MATTHEW BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
209 W CENTRAL AVE, ULYSSES, KS 67880-2404
(801) 879-8381
Mailing address
918 N CHEYENNE ST, ULYSSES, KS 67880-1863
(801) 879-8381
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61584
KS
Other
Enumeration date
05/30/2019
Last updated
06/12/2021
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