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DR. MARIAN S BRADFORD DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1902008659

Individual Registrant:
DR. MARIAN S BRADFORD DDS
Gender: F
Not Sole Proprietor

Location and contact information for practice:
24541 PACIFIC PARK DR SUITE 240 ALISO VIEJO, CA 92656-3065 US
Tel: 949-831-0051  Fax: 949-831-0037

Contact information for business:
24541 PACIFIC PARK DR SUITE 240 ALISO VIEJO, CA 92656-3065 US
Tel: 949-831-0051  Fax: 949-831-0037

Registration Information:
NPI: 1902008659
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CA48672

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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