Most Relevant Information
Provider Data
| NPI Number: | 1003224148 |
| Provider Name: | ALIJAH BRADLEY DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | DN 20845 |
Most Important Dates
| Enumeration Date: | 07/31/2014 |
| Last Updated: | 10/29/2014 |
Provider Practice Location
4267 W COMMERCIAL BLVD
TAMARAC
FL
333193305
Practice Location Phone/Fax
| Phone: | 9546773202 |
| Fax: | 9546773201 |
Provider Mailing Location
19255 NE 10TH AVE APT 225
MIAMI
FL
331795936
Provider Mailing Phone/Fax
| Phone: | 7349044589 |
| Fax: |