Bradford Family Dentistry, Pl

NPI #1790781623 in Starke, Florida

Provider Information

NPI Number: 1790781623
Entity Type: Organization
Organization Name: Bradford Family Dentistry, Pl
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 24, 2005
Last Updated: Sep 21, 2015

Practice Location

Address: 315 WEST CALL STREET
City: Starke
State: Florida
ZIP Code: 32091-3113
Phone: (904) 964-7501

Authorized Official

Name: DR. WILLIAM MARCHESE, D.M.D., R.PH.
Title: PARTNER
Phone: (904) 964-7501

Specialties & Taxonomy Codes

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

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