Kenneth Bradford, D.D.S.

NPI #1447326400 in Tyler, Texas

Provider Information

NPI Number
1447326400
Entity Type
Individual
Name
Kenneth Bradford, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Nov 28, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
824 S FLEISHEL AVE
City
Tyler
State
Texas
ZIP Code
75701-2016
Phone
(903) 597-0460

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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