| NPI | 1124244603 |
|---|---|
| Other Name | BRADLEY L VIDEEN DDS MS |
| Entity Type | Organization |
| Authorized Contact | BRADLEY L VIDEEN 100 Percent Shareholder Of S Corp 763-689-3134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN 8936) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |