DR. Carol Lavern Bradshaw, D.D.S.

NPI #1558544007 in Blythe, California

Provider Information

NPI Number: 1558544007
Entity Type: Individual
Name: DR. Carol Lavern Bradshaw, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Dec 6, 2007
Last Updated: Dec 6, 2007

Practice Location

Address: 19005 WILEYS WELL RD
City: Blythe
State: California
ZIP Code: 92225-2287
Phone: (760) 278-9755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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