| NPI | 1861855884 |
|---|---|
| Doing Business As | BRADSHAW FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAVID FRAUSTO Owner 928-775-9495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |