Bradley Dental, LLC

NPI #1295906584 in Bourbonnais, Illinois

Provider Information

NPI Number
1295906584
Entity Type
Organization
Organization Name
Bradley Dental, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 14, 2008
Last Updated
Mar 14, 2008

Practice Location

Address
2034 N STATE ROUTE 50
ZIP Code
60914-4410
Phone
(815) 929-0222

Authorized Official

Name
KOUSHAN AZAD, DDS
Title
OWNER/DENTIST
Phone
(815) 929-0222

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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