BRADLEY GORDON BORK

MEDIAPOLIS, IA
NPI1972534527
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IA  5675)
Enumeration Date2006-07-05
Last Update Date2007-07-08
Business Address
Dr. BRADLEY GORDON BORK DDS
511 COLUMBIA STREET
MEDIAPOLIS, IA 52637
Phone number: 319-394-3255
Mailing Address
Dr. BRADLEY GORDON BORK DDS
511 COLUMBIA STREET
MEDIAPOLIS, IA 52637
Phone number: 319-394-3255