DR. Jerry L Bradley, DDS

NPI #1184713505 in Edenton, North Carolina

Provider Information

NPI Number: 1184713505
Entity Type: Individual
Name: DR. Jerry L Bradley, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 512 COKE AVENUE
City: Edenton
State: North Carolina
ZIP Code: 27932
Phone: (252) 482-1080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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