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1497074025
BRADLEY WANE ROBERTS
ALTON, IL
NPI
1497074025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist Oral and Maxillofacial Surgery
(Licence: IL 019019769)
Enumeration Date
2010-05-21
Last Update Date
2010-05-21
Business Address
DR. BRADLEY WANE ROBERTS D.M.D.
4 PROFESSIONAL DR
ALTON, IL 62002-5067
Phone number: 618-465-9000
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Mailing Address
DR. BRADLEY WANE ROBERTS D.M.D.
4 PROFESSIONAL DR
ALTON, IL 62002-5067
Phone number: 618-465-9000
Copy
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AFFORDABLE DENTISTRY TODAY, PC