Whalio Doctors

NPI 1033753298

Lynnette Bradley

Practitioner Advanced Practice Dental Therapist Riverside, CA

Practice location

Address
4218 Giles CT, Riverside, CA 92503-3154
Phone
(951) 314-5349
Mailing address
PO Box 7512, Riverside, CA 92513-7512

Registered specialties

Advanced Practice Dental Therapist Primary
Dental Providers Taxonomy 125K00000X Licence HAP754 (CA)

Registry record

NPI
1033753298
Entity type
Individual
Sex (as registered)
Female
NPI issued
31 Oct 2019
Record last updated
31 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.