Individual
DR. BRADLEY STANLEY LONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3721 JENNINGS STATION RD, SAINT LOUIS, MO 63121-3505
(314) 382-2000
Mailing address
3721 JENNINGS STATION RD, SAINT LOUIS, MO 63121-3505
(314) 382-2000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2018017829
MO
1223G0001X
General Practice Dentistry
2018017829
MO
Other
Enumeration date
06/06/2018
Last updated
12/19/2019
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