BRADLEY K SKILLEN

DERBY, KS
NPI1619069614
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KS  6291)
Enumeration Date2006-09-28
Last Update Date2007-07-08
Business Address
-- BRADLEY K SKILLEN DDS
1700 JAMES ST
DERBY, KS 67037-3543
Phone number: 316-788-3736
Mailing Address
-- BRADLEY K SKILLEN DDS
PO BOX 207 1700 JAMES
DERBY, KS 67037-0207
Phone number: 316-788-3736