DR. Mark S Bradel, DDS

NPI #1235240730 in Roscoe, Illinois

Provider Information

NPI Number: 1235240730
Entity Type: Individual
Name: DR. Mark S Bradel, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5647 ELEVATOR RD
City: Roscoe
State: Illinois
ZIP Code: 61073-8879
Phone: (815) 623-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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