Most Relevant Information
Provider Data
| NPI Number: | 1003486911 |
| Provider Name: | BRADFORD WALKER GANZ DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223X0400X |
| Specialty: | Dentist |
| License Number: | 13056 |
Most Important Dates
| Enumeration Date: | 07/01/2021 |
| Last Updated: | 06/01/2022 |
Provider Practice Location
127 GREYROCK PL
STAMFORD
CT
069013100
Practice Location Phone/Fax
| Phone: | 2033235239 |
| Fax: |
Provider Mailing Location
12 OAK LN
WESTON
CT
068831110
Provider Mailing Phone/Fax
| Phone: | 2039846308 |
| Fax: |