DR. Dennis Lyle Bradshaw, D D S

NPI #1508991951 in Pasco, Washington

Provider Information

NPI Number: 1508991951
Entity Type: Individual
Name: DR. Dennis Lyle Bradshaw, D D S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D D S
Enumeration Date: Feb 23, 2007
Last Updated: Apr 28, 2022

Practice Location

Address: 4403 W COURT ST
Address 2: SUITE A
City: Pasco
State: Washington
ZIP Code: 99301-2879
Phone: (509) 547-9549

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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