James Bradley Pueschel, DDS

NPI #1659468304 in Peoria, Illinois

Provider Information

NPI Number: 1659468304
Entity Type: Individual
Name: James Bradley Pueschel, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 300 E WAR MEMORIAL DR
Address 2: SUITE 302
City: Peoria
State: Illinois
ZIP Code: 61614-7551
Phone: (309) 682-9699

Specialties & Taxonomy Codes

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

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