DR. Robert Frederick Bradley, DDS
NPI #1639297633 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1639297633
- Entity Type
- Individual
- Name
- DR. Robert Frederick Bradley, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Mar 27, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1614 W LAFAYETTE
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-0000
- Phone
- (217) 243-4032
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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