DR. Stephen Ralph Bradley, DMD

NPI #1558505537 in Vienna, Virginia

Provider Information

NPI Number: 1558505537
Entity Type: Individual
Name: DR. Stephen Ralph Bradley, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Apr 22, 2009
Last Updated: Apr 22, 2009

Practice Location

Address: 307 MAPLE AVE W
Address 2: SUITE G
City: Vienna
State: Virginia
ZIP Code: 22180-4307
Phone: (703) 242-8416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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