Bradford L Picot, Dds, P.a.

NPI 1003048752 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1003048752
Enumeration Date 08/13/2009
Last Updated 08/13/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name BRADFORD LEE BRADFORD
Position OWNER/DENTIST
Phone (704) 335-8266
Fax (704) 335-8267
Practice Location
1520 SOUTH BLVD
SUITE 110
CHARLOTTE NC, 28203-4786, US
Phone (704) 335-8266
Fax (704) 335-8267
Business Location
1520 SOUTH BLVD
SUITE 110
CHARLOTTE NC, 28203-4786, US
Phone (704) 335-8266
Fax (704) 335-8267
Toxanomy
Taxonomy Code 302R00000X
License State North Carolina
License Number 8158
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According to our database, Bradford L Picot, Dds, P.a. NPI is 1003048752, taxonomy code is 302R00000X and license number is 8158, license state is located at North Carolina. Bradford L Picot, Dds, P.a. physically located at 1520 South Blvd, Charlotte NC, 28203-4786. NPI Number 1033115704 has the healthcare provider type.

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1003048752 NPI number is provided on an as is basis without warranty of any kind. 1003048752 is maintained by the National Plan & Provider Enumeration System. The contents of Bradford L Picot, Dds, P.a. are for informational purposes only.