Bradley J Norman, DMD Valid NPI
Individual provider · General Practice Dentistry · Eatonville, WA
- NPI
- 1497360457
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- DE61085615 (WA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2020-09-15
- Last updated
- 2020-09-15
Practice location
33421 Webster Rd E
Eatonville, WA 98328-8685
(253) 389-0526