BRADLEY BISHOP DIMINICK

KINGSPORT, TN
NPI1417516733
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TN  11078)
Enumeration Date2019-06-10
Last Update Date2019-06-10
Business Address
Dr. BRADLEY BISHOP DIMINICK DDS
2975 FORT HENRY DR STE A
KINGSPORT, TN 37664-4005
Phone number: 423-247-9196
Mailing Address
Dr. BRADLEY BISHOP DIMINICK DDS
5642 JOHN GAINES BLVD
KINGSPORT, TN 37664-6532
Phone number: 423-863-6114
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