Bradley, Laurie L
Bradley, Laurie L is an individual health care provider with primary practice located at 7703 Floyd Curl Dr , San Antonio TX 78229. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Bradley, Laurie L can be contacted via phone (210) 567-6405.Contact Information
Primary practice address
7703 Floyd Curl Dr
San Antonio TX 78229
Phone: (210) 567-6405
Fax: (210) 567-2844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 16480 | Texas |
Profile Details
| NPI number | 1104914571 |
|---|---|
| LBN Legal business name | Bradley, Laurie L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104914571 | NPPES |
| Other | 976188 | UNITED CONCORDIA | |
| Other | 834609 | UNITED CONCORDIA |
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