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DR. MARIAN S BRADFORD DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1902008659
Individual Registrant:DR. MARIAN S BRADFORD DDS
Gender: F
Not Sole Proprietor
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
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
Tel: 949-831-0051 Fax: 949-831-0037
Registration Information:
NPI: 1902008659
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | 48672 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
