| Braddent Llc | |
|
5075 Highway 31 Unit B Calera AL 35040-5165 | |
| (334) 467-6095 | |
| Not Available |
| Full Name | Braddent Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5075 Highway 31 Unit B, Calera, Alabama |
| Authorized Official Name and Position | Robert Bradford (OWNER) |
| Authorized Official Contact | 3344676095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Braddent Llc 5075 Highway 31 Unit B Calera AL 35040-5165 Ph: () - | Braddent Llc 5075 Highway 31 Unit B Calera AL 35040-5165 Ph: (334) 467-6095 |
| NPI Number | 1679960199 |
|---|---|
| Provider Enumeration Date | 04/22/2015 |
| Last Update Date | 04/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679960199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5537 (Alabama) | Primary |
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