Individual
DR. JAMES L. BRADSHAW
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
131 N MAIN ST, BLACKSTONE, VA 23824-1423
(434) 292-4665
Mailing address
131 NORTH MAIN STREET, BLACKSTONE, VA 23824
(434) 292-4665
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4061
VA
Other
Enumeration date
02/27/2006
Last updated
07/08/2007
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