DR. Kelly Lyn Bradshaw, D.D.S.
NPI #1811123011 in Allen Park, Michigan
Provider Information
- NPI Number
- 1811123011
- Entity Type
- Individual
- Name
- DR. Kelly Lyn Bradshaw, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jun 2, 2009
- Last Updated
- Aug 1, 2011
Practice Location
- Address
- 9815 REECK RD
- City
- Allen Park
- State
- Michigan
- ZIP Code
- 48101-1356
- Phone
- (313) 383-8969
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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