BRADLEY DENTAL, LLC

BOURBONNAIS, IL
NPI1295906584
Entity TypeOrganization
Authorized ContactKOUSHAN AZAD
Owner/Dentist
815-929-0222
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2008-03-14
Last Update Date2008-03-14
Business Address
BRADLEY DENTAL, LLC
2034 N STATE ROUTE 50
BOURBONNAIS, IL 60914-4410
Phone number: 815-929-0222
Mailing Address
BRADLEY DENTAL, LLC
2034 N STATE ROUTE 50
BOURBONNAIS, IL 60914-4410
Phone number: 815-929-0222
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