| Bradford Boyd, Dds, Inc | |
|
151 E Avenue J Lancaster CA 93535-3520 | |
| (661) 942-1179 | |
| Not Available |
| Full Name | Bradford Boyd, Dds, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 151 E Avenue J, Lancaster, California |
| Authorized Official Name and Position | Ben Gocke (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 6619421179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradford Boyd, Dds, Inc 151 E Avenue J Lancaster CA 93535-3520 Ph: (661) 942-1179 | Bradford Boyd, Dds, Inc 151 E Avenue J Lancaster CA 93535-3520 Ph: (661) 942-1179 |
| NPI Number | 1124469606 |
|---|---|
| Provider Enumeration Date | 07/11/2013 |
| Last Update Date | 07/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124469606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 31212 (California) | Primary |
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