1-800-go-dentist

NPI 1043458821 - Dentist - 1223G0001X

NPI Details
NPI 1043458821
Enumeration Date 02/01/2009
Last Updated 02/01/2009
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name BRADLEY K BRADLEY
Position PRESIDENT
Phone (361) 851-2828
Fax (361) 851-2830
Practice Location
6262 WEBER RD
SUITE 120
CORPUS CHRISTI TX, 78413-4006, US
Phone (361) 851-2828
Fax (361) 851-2830
Business Location
6262 WEBER RD
SUITE 120
CORPUS CHRISTI TX, 78413-4006, US
Phone (361) 851-2828
Fax (361) 851-2830
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 22773
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According to our database, 1-800-go-dentist NPI is 1043458821, taxonomy code is 1223G0001X and license number is 22773, license state is located at Texas. 1-800-go-dentist physically located at 6262 Weber Rd, Corpus Christi TX, 78413-4006. NPI Number 1033115704 has the healthcare provider type.

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1043458821 NPI number is provided on an as is basis without warranty of any kind. 1043458821 is maintained by the National Plan & Provider Enumeration System. The contents of 1-800-go-dentist are for informational purposes only.