Brent J. Bradley, D.D.S
NPI #1124088166 in Rapid City, South Dakota
Provider Information
- NPI Number
- 1124088166
- Entity Type
- Individual
- Name
- Brent J. Bradley, D.D.S
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- D.D.S
- Enumeration Date
- Mar 24, 2006
- Last Updated
- Aug 28, 2007
Practice Location
- Address
- 700 SHERIDAN LAKE RD
- City
- Rapid City
- State
- South Dakota
- ZIP Code
- 57702-2407
- Phone
- (605) 341-3068
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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