Bradford B. Liles, Dmd, PC

NPI #1649670936 in Theodore, Alabama

Provider Information

NPI Number
1649670936
Entity Type
Organization
Organization Name
Bradford B. Liles, Dmd, PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 25, 2014
Last Updated
Aug 25, 2014

Practice Location

Address
5721 HIGHWAY 90 STE A
State
Alabama
ZIP Code
36582-3601
Phone
(251) 653-1300

Authorized Official

Name
BRADFORD BOWEN LILES, DMD
Title
OWNER/DENTIST
Phone
(251) 653-1300

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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