Individual
DR. BRADLEY ALAN CHERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
109 NATURE WALK PARKWAY, SUITE 106, ST. AUGUSTINE, FL 32092
(904) 230-6399
Mailing address
4604 SW 45TH LN, GAINESVILLE, FL 32608-4948
(352) 246-8860
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN17470
FL
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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