Bradley Jason Fife, DDS Valid NPI
Individual provider · Dentist · Eugene, OR
- NPI
- 1821401324
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- D10034 (OR)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2014-06-03
- Last updated
- 2014-06-03
Practice location
1507 Coburg Rd
Eugene, OR 97401-4853
(541) 687-1442