Bradley T Frederick Dmd LLC
NPI #1487475737 in Floyds Knobs, Indiana
Provider Information
- NPI Number
- 1487475737
- Entity Type
- Organization
- Organization Name
- Bradley T Frederick Dmd LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 21, 2024
- Last Updated
- Oct 21, 2024
Practice Location
- Address
- 1935 APPLE BLOSSOM DR
- City
- Floyds Knobs
- State
- Indiana
- ZIP Code
- 47119-9025
- Phone
- (502) 552-4559
Authorized Official
- Name
- BRADLEY FREDERICK, DMD
- Title
- MANAGER
- Phone
- (502) 552-4559
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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