Individual
DR. JEANNENE EVELYN BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5505 WILLIAMSON ROAD, ROANOKE, VA 24012
(540) 366-0335
Mailing address
5505 WILLIAMSON ROAD, ROANOKE, VA 24012
(540) 366-0335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411872
VA
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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