Individual provider · Type 1 NPI

Mark Larsen Bradford, DDS

General Practice Dentistry · Chico, CA

NPI number 1477555613 Active

About NPI 1477555613

Mark Larsen Bradford, DDS's National Provider Identifier is 1477555613, issued on Jun 1, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chico, CA. The record was last updated on Jul 11, 2007.