Dennis L Bradshaw

NPI #1548584337 in Pasco, Washington

Provider Information

NPI Number: 1548584337
Entity Type: Organization
Organization Name: Dennis L Bradshaw
Primary Specialty: Dentist
Enumeration Date: Mar 23, 2010
Last Updated: Mar 23, 2010

Practice Location

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

Authorized Official

Name: DR. DENNIS L BRADSHAW, DDS
Title: PRESIDENT
Phone: (509) 547-9549

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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