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1013033794
BRADLEY RICHARD SWANSON
SOUTH BEND, IN
NPI
1013033794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: IN 12010670a)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
Dr. BRADLEY RICHARD SWANSON DDS MSD
54505 26TH STREET UNIT E
SOUTH BEND, IN 46635
Phone number: 574-807-9050
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Mailing Address
Dr. BRADLEY RICHARD SWANSON DDS MSD
3316 S. TWYCKENHAM DRIVE
SOUTH BEND, IN 46614
Phone number:
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