Bradham, Sara Rose

Bradham, Sara Rose is an sole proprietor health care provider with primary practice located at 3 Doctor Cir , Longview TX 75605-5050. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bradham, Sara Rose can be contacted via phone (903) 757-2495.

Contact Information

Primary practice address
3 Doctor Cir Longview TX 75605-5050
Fax: (903) 757-3707
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 35531 Texas

Profile Details

NPI number 1316592330
LBN Legal business name Bradham, Sara Rose
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2019
Last updated Jun 1st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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