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1861405821
DANIEL W BRADSHAW
JOHNSON CITY, TN
NPI
1861405821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: TN 7691)
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
Dr. DANIEL W BRADSHAW D.D.S.
300 W WATAUGA AVE
JOHNSON CITY, TN 37604-5549
Phone number: 423-929-8111
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Mailing Address
Dr. DANIEL W BRADSHAW D.D.S.
300 W WATAUGA AVE
JOHNSON CITY, TN 37604-5549
Phone number: 423-929-8111
Copy
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