BRADLEY MYCHEL PELHAM

KINGMAN, AZ
NPI1952081051
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: AZ  D011911)
Additional Taxonomies122300000X Dentist
(Licence: CA  109057)
122300000X Dentist
(Licence: NM  DB-2023-0196)
Enumeration Date2023-07-24
Last Update Date2025-08-20
Business Address
BRADLEY MYCHEL PELHAM DDS
3795 N STOCKTON HILL RD
KINGMAN, AZ 86409-3057
Phone number: 928-352-8132
Mailing Address
BRADLEY MYCHEL PELHAM DDS
3149 PALO VERDE BLVD N
LAKE HAVASU CITY, AZ 86404-1470
Phone number: 626-623-9449