Keith Richard Bradburn

NPI #1811132699 in Clayton, California

Provider Information

NPI Number: 1811132699
Entity Type: Individual
Name: Keith Richard Bradburn
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Dec 9, 2008
Last Updated: Dec 9, 2008

Practice Location

Address: 6123 MAIN ST
City: Clayton
State: California
ZIP Code: 94517-1201
Phone: (925) 672-0110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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